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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 /> r <br /> you may need this if . . . <br /> 33' 33' I I <br /> I <br /> —FroM Setback arf;a S 72°57'40" E 254.01' ,sue Setback araa <br /> • <br /> Rea <br /> . . Fr ep uianuOOnOnii <br /> T <br /> 0 tU En78,uns t"i i - t, i / Iiii CO <br /> aiB!� Needs a< I z .- <br /> Q - e I W ' Location <br /> 0 I Q w � ' Survey Sete I W— % .— a <br /> 1-1,-...), tip. 169.8' d ra y _O / LrsP_5cv ts <br /> 0 N Q Ru±■:amr Cd a 35. _ <br /> O <br /> // = N co <br /> ° <br /> ; /2,j:0ff,1,:e#/#/#/ff#,Af . <br /> ` r <br /> Stde Setback area N 72°57'40" W <br /> 33' 33' <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 /> I PRINT: Owner/Agent DATE: <br /> Alieh Wo (Pe : 8?-- ti-1.6 . <br /> ■ SIGNATUJ .l R�E:�Owner/A�go` �}nt <br /> 1 <br /> al/A-4- V" _ .. <br /> Cl� <br />