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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: Alocation survey may add significant cost to your project.Please contact a Wisconsin Licensed Land Surveyor. <br /> you may, need, this �f , .: v „ <br /> 33' 33' I I <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' F_Side Setback area • <br /> • Rear <br /> Pi/// 1�/ a//%// areas <br /> C / o <br /> e— 10 Feet t- r <br /> "o Needs a W <br /> eeee:�eee Location / W <br /> QI w 9 � I N Survey s- ��Setback W <br /> 0 - ��N 169.8' � use <br /> (; yy <br /> N Q Addition d / J O <br /> CC N 35. 2 j� m co <br /> ti — _ � 00 • <br /> r'ge&J JA Cr) <br /> 1 z <br /> • r <br /> I Side Setback area N 72°57'40" W <br /> I <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 /> fak^°el 5e,it 0/5- tVe-iri /0 —10 — 0 r <br /> SIGNATURE: Own nt <br /> �t <br />