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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 nt 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 /> 1si50-° 3qf `' c. ¢ xt� �ty'�- r �`=*� jfr <br /> A �Y � ,y n @etl 1 i N,p� y+ : r <br /> _...% ..,_ �E. ..�}" :?� :"_°.c?..4+ a' eft ..ct*..,.. ..�._ .._ a. <br /> 33' 33' I <br /> I <br /> -... .::. S 72°57'40" E 254.01' f---6,s_:t:;-::3• <br /> 1 Yea <br /> .n;;:.:a .-� 1 / Cr <br /> j (t r <br /> CI I / C::W: ` Needs a <br /> """e. Location Li <br /> -- Survey '® ° t t�l `°�` 169.8' - <br /> ce o 3 5. /'/:I `t' N <br /> O �^ N, -",o <br /> co <br /> Z — Y , / // 'J_.1'L�LL/� /�'f/1C/1L/ <br /> — — co <br /> N 72°57' 40" W <br /> 33' , 33' <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,oi 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 .vitlh, 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 /> l I <br /> c__ �r I ( c, — Zit L <br /> SIGNATURE: wner/Agent <br />