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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 /> • Front Setback area S 72°57'40" E 254.01' r Side Setback area <br /> • <br /> 1 Rear <br /> Setback <br /> Fr 1 area <br /> o c <br /> r 10 Feet t— <br /> O 31NeedS a W co <br /> Location <br /> Q W to <br /> W I N Survey 4—setback w <br /> 0 A 169.8' / Line <br /> CC N Q nao d Ll�/`� 169.8 Co <br /> Z.4 35.0 I %�� z io <br /> co N <br /> co <br /> I Z y <br /> _ _J�¢L�/s'11#4,J LLI/LLl/LLl/s�l/1!!/s!1<LIlLGI/J <br /> •1 Side Setback area N 72°57'40" W • <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. Owner/Agent DATE: <br /> Diane Dzikowski 09/19/16 <br /> lGNATURE: Owner/Agent <br /> WQ '')f -- <br />