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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' <br /> I I <br /> Front Setback area 372°57'40" E 254.01' r Side Setback area <br /> I . 1 ► Rear <br /> ,.#/#/„iii/////%j� � ���/,��/� 1 ► Setback <br /> 10 Feet %�� tIs v- <br /> COT" � Needs a 1-____ ___ Location Q I w ' .SUIV @y %% ~Setback O N Q W 189.8• �/, LMe O <br /> re iv 35.� _C % ' N I Z G� <br /> _ _J G��lI.LGU d�rJ[GC/��l/LL!/�!!�!l�Lll<GII��C/. <br /> • r <br /> Side Setback area N72°57'40" W 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. OwnerlAgent DATE: <br /> Christopher Doll 08/05/16 <br /> SIGNATURE: Owner/Agent <br /> 7,.... ..i. 7.---, .....er. :::2 <br />