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A location survey, by a licensed surveyor, is required if your construction <br /> • <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 consirualon location. <br /> • The survey shall be done at the time when foundations or basement walls am complete& • . <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 /> r• <br /> you may need this if . . <br /> • 33' 33' I . <br /> aro ' $72°ST aa° E 254.011 Ms gotbaFk""' <br /> ' Rear <br /> l e, v Fr /,/// / // il,r1,f1 Inia <br /> CO <br /> r : i Needsa r <br /> ® r - -- Location <br /> Q • • a , f sr,Ney .3 <br /> co o e MIf� 1139.8 <br /> Ce N o_ ^° ° <br /> ig 35,. • - - _, / <br /> Z_ _ .: '% / %%/,' __� Ali/ / bi el <br /> �,de,r • N 72°57'40° W , <br /> j <br /> • 33' 33' — _ ----- <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.)further certify I am the property owner,or a duly authorized representative, <br /> and may aign 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 wHI construct the project In compliance with those conditions.I understand hatfailure . <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. t,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: ownedAgent V2..�.,1 lz oi,n`H 6 hl 4¢..S, LL C DATE: <br /> F[9rP h L. G-wry') a I 0--Zv--(.S° <br /> . - SIGNATURE: Owrt.dApent <br /> ' LA-Q-ADAUR-- ALVidil. ' • <br /> I <br /> I <br />