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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' <br /> r Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> • I Rear <br /> L{ <br /> ZZ if Setback 1 area <br /> E o <br /> e 10 Feet t— <br /> Q Needs a <br /> minim! Location <br /> oil I w 1 cn Survey �\ Ø4Line ey 169.8'0 tiod <br /> CC 35. % _�% � N . <br /> I Z <br /> _JE�.��✓. ��'111 1�L�GLU GC/L �/LCC/[C!/ell�%1/.!ll� 1J A - cn <br /> co <br /> 1• Side Setback area N 72°57'40" W <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 /> t: iti� d 14- k e_ I s e,j, I 4 Zook <br /> • SIGNA RE: Owner/Ag n e2,ti <br />