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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 /> 0 <br /> I .. %/�J %/%/////�i Rear <br /> C W (11./ ������� iii %/ %/ %/%% 1 Setback <br /> if area <br /> r <br /> 0 �% \ 10 Feet F O <br /> Q 4 Needs a z <br /> W <br /> !MM.!! Location / s <br /> CO Q I w Survey 0+_setback <br /> W O O P ^� 169.8 Line O D N Q Aroosed J O X <br /> iv 35. % - o <br /> N N <br /> _ _ — � <br /> 1r <br /> co <br /> r <br /> I z <br /> "Jr .e4rJ J.14 co <br /> _ _ <br /> • r <br /> I Side Setback area N 72°57'40" W <br /> 33' 33' I I <br /> 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 /> JA' A , -lo (A /7) 09(7-0/SIGNATURE: • er/Agen <br /> iirA ///i <br />