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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' I I <br /> I Front Setback area S 72°57'40" E 254.01' Side Setback area I <br /> Rear Setback <br /> i C , ��� � area <br /> r <br /> �' � Needs a ,o Fea` <br /> a <br /> `' / z <br /> ____ Location f• r• cr, <br /> LU % rn Y Ø4_ ack <br /> ' SUrve 169.8' Line } _ <br /> /�/ Q A 'bon 7 O <br /> M N 35.F I r _ <br /> —0 iv N <br /> CO <br /> — — __f i'- !L<L�j LCV[GUL'!/%1� /'ll.Ll!<CJ <br /> • r <br /> Side setback area N 72°57'40" W <br /> 33' 33' I I <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,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 <br /> DATE: <br /> T ok,. r\AAYN P h{ck \(t 1 tr S h'S � mmc N a\ p r tc_ <br /> j- 3'-'7 <br /> SIGN ROwnerlAge <br />