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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' I I <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' r—Side Setback area <br /> • <br /> 1` Rear <br /> Setback <br /> area <br /> O ' <br /> O G <br /> r „� 10 Feet / F c <br /> Q Needs a / W co <br /> Location w <br /> W a <br /> W H <br /> Q I , Survey r Øiine <br /> ve 169.8'j CC iv 35.`% z 4) <br /> ?•-• _ _ _d__ co • <br /> r. <br /> — — -� / /11/!/�&JG'/1/�I/z'/1/�'l!/'ll/�/l/lI/l/J <br /> c+) <br /> • r <br /> I Side Setback area N 72°57'40” W <br /> I <br /> 33' 33' 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 f DATE: <br /> JO 4,„A O. rnorfctz 5' N r 6— /g —O $ <br /> . SIGNATURE: Owner/Agent <br /> /-(2-.... d , .. .77,-/Lec.,...%_-_--1/4-k--4.--k_ <br />