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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 I <br /> Front Setback area S 72°57'40" E 254.01' r Side Setback area <br /> •I _1 1 • Rear 1 Setback <br /> area <br /> Pr / //� et <br /> ✓ 10 Feet F- co co <br /> Q c Needs a // W <br /> !!!!1!!!! Location <br /> W <br /> Q I W / , 0 Survey w r Proposed 169.8 <br /> Ce O io <br /> • — — -�� co o <br /> i;Vj.#4rj J./Adi cn <br /> • r • <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 /> Derek Carpenter HDS Inc 10/06/16 <br /> SIGNATURE: Owner/Agent <br /> i e s•r_i_.,___e"v,,,, ;).,.,,,7„2-- <br /> RECEIVED <br />