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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' F Side Setback area <br /> • iJJ�%JJJJ�jJJJ Rear <br /> O j ,./• i ii %ii %/i %i %/� 1 Setback <br /> ����������////// area <br /> O O <br /> r 10 Feet %% r <br /> 0 eet F <br /> 0 Needs a W <br /> eeeeaeee Location Ø4...Sethack <br /> W <br /> Q I W , cn Survey W ? <br /> 169.8' dine } <br /> O O / Proposed J p <br /> CC <br /> a 35. 2 � n io <br /> O G� is, o <br /> M <br /> Z — — — �l�ll�s!�L&JLGULGULll�l1�11�11�11�11J A 0 <br /> co• <br /> r <br /> 1 Side Setback area N 72°57'40" W <br /> 33' 33' I 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 DATE: <br /> •A-Mt'S 1, . Mot_ LOJ 47 -2.6- <br /> SIGNATURE: Owner/Agent may2, <br /> Y Cvw�4— / .1 t"1�' <br />