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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 /> • Front Setback area S 72°57'40" E 254.01' + Side Setback area f <br /> Rear <br /> 1 area <br /> O 1:/.# // <br /> iiii <br /> F/ o <br /> r 10 Feet %% F- e- <br /> 01 <br /> co Needs a / W <br /> !!!! !!! Location <br /> W W <br /> cn Q w 1 Survey 0+_Line oposed 169.8'j Q Addition CC 35 % _ o io <br /> N <br /> g. — — —�SY %� co r • <br /> 1 z <br /> — _J�/��1 1 'll�L�GGU GLI/GG�LCC/!1/el!/'!!/sl!/.11J <br /> M <br /> • r • <br /> 1 Side Setback area N 72°57'40" W <br /> 33' 33' <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 /> ._l,ppic,, Q. w:II'S .... A/e,., /:, f <br /> SIGNATUR • nt <br />