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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 shalt 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 /> I <br /> 1 you may need this if . . <br /> 33' ! 33' I <br /> I <br /> Front Setback area S 72°57'40" E 254.01' Ssde Setback area <br /> Rear <br /> � r„ „. #i. „,,, „ 1 area <br /> e— A ✓ 10 Feet t— P <br /> 01 s Needs a., W <br /> 0 l ...••••, Location ? % w <br /> Q w Vi w s _ <br /> I ♦A Survey � Setback .1 0 O D Proposed --1----k n��' 169.8' Line F <br /> tu <br /> 00 <br /> (V o Addition a <br /> LL i•, 35.V _ <br /> — — — Y <br /> A CO I <br /> _I 717J#:grj /FJJ , <br /> _ _ <br /> , ,..3 1 i • <br /> r 1 <br /> 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 t 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 /> ■ <br /> PRINT: Owner/Agent DATE: <br /> Rodney Homburg 05102117 <br /> S{GNAT o • .r/ e � <br /> er f <br />