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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 <br /> Front Setback area S 72°57'40" E 254.01' r Side •Setback area <br /> • <br /> 1 • JJ� 1 • Rear <br /> 1711 ;/Z������ // . , �� 1 Setback <br /> [1,// area <br /> O i <br /> O O <br /> % Needs a 10 Feet W <br /> 0 !!!! !!! >Location col- <br /> Q W <br /> W , `\� Su,/„ y ' Ø4_Sethack 169.8 F Co <br /> _i CV <br /> iv 35. % Q_ Addition =I O <br /> f■ — — _d_ iM s O N <br /> co <br /> _ — <br /> ffiffl 1�GLC/GGl/GC/LC/[!1/!!/1!/1l� l![LU <br /> • r • <br /> Side Setback area N 72°57'40" W <br /> 33' 33' 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 /> 62ff7:".S'f i4,� ��o2cil ote <br /> i�� <br /> SIGNATURE: Owner/A en <br /> aagS— .-----_—___ <br />