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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 myneeci ths,if }w 'J i : . r=... .: <br /> 33' 33' <br /> I <br /> Front Setback area S 72°57' 40" E 254.01' Side Setback area <br /> ® Rear <br /> Z/�������"%//// t Setback <br /> jr�%///// , /� ��� d- 4 area <br /> O 4 O <br /> 10 Feet F- <br /> Needs a // W <br /> ® eeee:�eee Location / w <br /> 0 I W , Survey <br /> �4__Setback W <br /> ® O V Proposed 169.8' Line a0 <br /> tN VV Q Addlfion es O <br /> (ild/o 0 35. �� = j/ C4 is <br /> O j N N <br /> co <br /> co <br /> 1 J. c, <br /> ® r <br /> 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 /> oce)Qrc/ / ' 4411,:a74- /o - /7- 2G/ <br /> SIGNATURE: Owne/Agent <br /> F-41-)MA-010, 04-'71e <br />