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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 /> I1 Rear <br /> O p ��/`////,///////�� %iiii �i �// 1 <br /> area 0. <br /> r V 10 Feet %%% F r <br /> co Needs a W <br /> eee IMI Location W <br /> Q w � 0 Survey 0+_Setback A 169.8 Q J O <br /> F, _ _ _d_EN 35. % %%% = N 0 <br /> 0 co <br /> 1 4,J .J.Az! <br /> _ _ _ <br /> • <br /> 1 N 72°57'40" W • <br /> Side Setback area <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: g t'' DATE: <br /> 11 n ; Q-) W,,1 A ^ uc 08/30/16 <br /> SIGNATURE: Owner gent <br /> DCA/Y 0 001(9----___ <br />