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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 /> }t om -t.. <br /> you maynee this,�f . i r : ,, <br /> 33' 33' I I <br /> I I <br /> J Front Setback area S 72°57' 40" E 254.01' Side Setback area <br /> ® _ Rear <br /> 1I 1 areas <br /> r 10 Feet r co <br /> Needs a / W <br /> Cl !!!!!!!! Location <br /> w <br /> L.1 W <br /> I SulVey � Setback w. . <br /> ® O 4� ' P,o�osed 169.8' tine } CO <br /> N 44 Q Addltlon / _ es O <br /> Et iv 35.`� _ j� 3 is <br /> Z �� JA, Cl) <br /> co <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 /> • <br /> PRINT: Owner/Agent DATE: <br /> ,"6/7 67- .„, / C7 .- .../7 <br /> SIGNATURE: Owner/--�-• <br /> �'/ <br /> r - <br />