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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 S 72°57'40" E 254.01' r Side Setback area • <br /> I / j/ j/�j�/y 1 Rear <br /> O P/// �Z������������������i%%%/%%%/%%%/%%i//�// %%� Setback <br /> /r, area <br /> O [, i O <br /> v- 10 Feet ►- e— <br /> co <br /> O V" � Needs a I W <br /> eeee:�eee Location ØSetback <br /> w 1 co Survey� r 169.8'Ce %�F, _ _ _d_0 35. % %% i4 N CO <br /> co <br /> ,_ <br /> 1 z J.41 co <br /> _ _ _,.. , Jr../ 44, <br /> • <br /> 1 N 72°57'40" W • <br /> Side Setback area 1 33' 33' <br /> 1 <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 /> TQc, el 0 , jY)c.)r5L let at ,tsc! (■ — /0 — 0 <br /> SIGNATURE: Owner/Agent <br /> g.>)--‘_ a )- z,,,t_izzi,_et_i_A__ <br /> y <br />