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A location survey, by a licensed surveyor, is required if your construction <br /> is within 10 feet of a setback line. <br /> • You will need to hire a surveyor to prepare a location survey to verify the construction location. <br /> • The survey shall be done at the time when foundations or basement walls are completed. <br /> • A location survey shall be submitted to the zoning office before continuing work on the project. <br /> • Note: A location survey may add significant cost to your project. Please contact a Wisconsin Licensed Land Surveyor. <br /> you may need this if . . . <br /> 33' 33' I I <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' r side Setback area <br /> _j 1 •• Rear <br /> I 11�� -/it"iiii////% lili,� Vii. 1 <br /> Setback <br /> cl <br /> r sI� IN 10 Feet Y— 0, <br /> J\ Needs / W <br /> I� t Location �' %% z <br /> w i w / E IL <br /> CD Q I y�.1 T / , Survey '„_,Setback <br /> O I".;`- p Posed ��' �g 169.8' Line ti) <br /> N 0 Addition %' .J O <br /> iv 35. _ ��" , 0 <br /> g■ — — _g._ co <br /> 1— <br /> W 4,j #A 0 <br /> __ _ _ <br /> • r • <br /> 1 Side Setback area N 72°57'40" W <br /> I <br /> 33' 33' I I <br /> 1. I,the undersigned,hereby make application for a zoning permit only for the location and the work described herein and <br /> certify to the accuracy of that information.I further certify I am the property owner,or a duly authorized representative, <br /> and may sign this permit application on behalf of the owner(s)of said property,and I have read and understand all of <br /> the conditions of this permit and will construct the project in compliance with those conditions. I understand that failure <br /> to provide accurate information or to comply with any provisions of the permit renders it null and void and may result in an <br /> enforcement action. <br /> 2. I,the undersigned,hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County <br /> Department of Planning&Development to determine compliance with the county's zoning ordinances.This consent is <br /> valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate of <br /> compliance or until earlier revoked in writing by the owner of the property. <br /> PRINT: Owner/Agent DATE: <br /> Mary Beth Growney Selene I Ryan Signs, Inc. I Agent for Owner 07/1 3/1 6 <br /> SIGNATURE,: wner/Agen <br />