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A location survey, by a licensed su veyor, 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 verity 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 /> I I <br /> I—Front Setback area S 72°57'40" E 254.01' sae seeadc area <br /> ver„,/,„„I I Rear <br /> b g., .- <br /> o o <br /> el Needs a ,o W <br /> 0 Location 2 <br /> W <br /> < I W I N SurvAey . / � W <br /> O N � 3 169.8' %� `"� ao Reposed <br /> ii 180 35.� I m m Addition <br /> � N <br /> r <br /> e— % O <br /> I z _1*/Arz( /# .411i - , ui <br /> 1 Side suck area N 72°57'40" W <br /> 33' 33' I I <br /> 1 <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 nun 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: ownedAgent DATE: <br /> .Q_ \91A- - P14 rtok. .0.4.0-\2- \-1-01 9-;-(4 <br /> SIGNATURE: owner/Agent <br /> l i Li- <br />