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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 Lin .1.. Q <br /> or. <br /> }.`.... ED <br /> . ,. _._ . , . fil n-.. -.is <br /> you rnay:need ti is3 if: :�r <br /> _ . '1 DEC 1 2016 <br /> I 33' 33' I I <br /> I I I <br /> ® Front Setback area S 72°57' 40" E 254.01' --Q�ilCDEVELOPMENT <br /> 1 �e a Rear <br /> P �, Setback <br /> YZZ //// %� area <br /> 10 Feet F- co <br /> Needs a / W <br /> co <br /> ® !!!!!!!! Location <br /> w W <br /> w rn <br /> / I Survey ��Setback W I _ <br /> ® O Y� Proposed 169.8' Une } i;o <br /> N 4 0 Addition Zi O <br /> EN 35. 2 � D ED <br /> :_r... _ _ _4 <br /> r <br /> I — — —}(071,J .#4 . <br /> cf, <br /> • r <br /> I Side Setback area N 72°57' 40" W <br /> I <br /> 33' 33' 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 /> 50 nc 11 id Ai f33.r-f.) ( Sv"eltSO/J8C1fbi C /1-- Z o—1 C <br /> SIe IATURE: Owner/A ent <br /> / . 'At*"4-61/4". A 2,_ <br /> .l <br />