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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 /> • • I Rear <br /> 11 P/// "Z/ // i% iiiiii%i%%/� ' a etback <br /> O <br /> O <br /> 0 `' Needs a 10 Feet / i T <br /> !!!! ,.. Location w <br /> W <br /> OQ I W Survey Ø+_Sethack Q <br /> o Line <br /> W <br /> N Q Proposed 169.8 t- CO <br /> Ce N 35.0 I co• <br /> f� _ _ �% i� N 2,3 <br /> „. <br /> I z <br /> _li Fr 4,J <br /> JA RECErVED <br /> _ _ <br /> • r I <br /> I Side Setback area N 72°57'40" W <br /> 33' 33' I APR 1 1 2017 <br /> 1. I,the undersigned,hereby make application for a zoning permit only for the location a e�eQ sPcTll a nerein�and LOPME(VT <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/A t DATE: 3A 8 // g-- <br /> SIGNATURE: Owner/Aged �, <br />