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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 toverify.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 /> t you may,rice*: thisif :,I," �'• .l <br /> 33' 33' <br /> Front Setback area S 72°57' 40" E 254.01' F Side Setback area <br /> ® Rear <br /> 11 r �Jr� raj �jj Setback <br /> �� ������������ % �% � 1 area <br /> O O • <br /> O <br /> r 10 Feet t- co <br /> m ---- --- Needs a W <br /> Location E <br /> w W <br /> I `� <br /> / 1 Survey <br /> /4—Setback w <br /> ® O D Prop�osed 169.8' Llne to <br /> C N 0 0 Addldon 0 J O <br /> o 35. �� iG <br /> O N N <br /> O V a- O <br /> co <br /> r r <br /> Z-._ if�.����L� J ff. A - - - <br /> , 1 . co <br /> ® N 72°.57'40" W <br /> - � I Side Setback area - <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 properly 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`determinvompliance 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: OwnerlAgent DATE: <br /> Jil �n zi-/-7 <br /> SIGNATURE: Owner/.gent <br /> / ----'' . <br /> LA. _SAS <br />