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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 /> I you may need this if . . . <br /> i <br /> 33' 33' <br /> I <br /> • Rant Setback area S 72°57' 40" E 254.01' Side Setback area r <br /> f Rear f <br /> Setback <br /> ✓// !//���������.//�����% �G%%�i�%�ff area <br /> O rr�� O <br /> O <br /> ‘- / „Feet - <br /> m m ... 4. Needs a% W r <br /> Or (� .tna !Location? Ø4...sethack <br /> N Survey 169.8 0 Addon J O <br /> �, ca <br /> o N N <br /> Z r' U,l.),"tff#4,J //7".j41 <br /> • r <br /> Side Setback At ca N 72°57'40" W <br /> s <br /> 33' 33' 1 <br /> iI <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. 1,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 /> 1 &--S___j) <br /> 1 --Sane, Rd.--(15 ' er- <br /> rSIGNATURE: Owne .•• •„.., — <br /> •• r <br /> . is <br /> • <br />