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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 S72°57'40" E 254.01' 1 side S.tbeck area <br /> I - Rear <br /> tr,.-7i/ // / / i Setback <br /> WWI <br /> , 0 <br /> 10 Feat %%%� <br /> to Needs a <br /> 0 , <br /> Location W <br /> Q I w 1 W . Survey s.m. 07 3 <br /> 0 CO <br /> N O d L1/�A/h 169.8' Line <br /> ‘NO } s <br /> Ce N 35.0 I g o <br /> �� N <br /> Z %� r <br /> _ _��s��GGI�� �'�Gj�Gj�Gj�GI�(!�(lGGlcGI�GjJ <br /> • <br /> I sw.t3etbaeh ue. N72°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 nuN 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 /> /6 <br /> K I Gi-4,- F . —5-1( <br /> SIGNATURE: OwnedAgent rl <br />