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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' F •Side Setback area • <br /> Rear <br /> r /%J/JJ %J/J� %J/J��%J/� Setback <br /> � // ///�i iiii��iii��i % i %/� area <br /> O <br /> / 10 Feet / F- <br /> O Needs a W m <br /> ....�... Location / W <br /> Qw Survey j�#_Setback W <br /> 0 <br /> 169.8' Line } <br /> Proposed % F— CO <br /> Oy N <br /> j v 35. S i% m is <br /> I t'D _ _ ._d_ co <br /> O a N <br /> 1 z J A0.3 o) <br /> • <br /> 1 N 72°57'40" W • <br /> Side Setback area <br /> I <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.V\ Gt ` bete / /sit 7 <br /> SIGNATURE: Owner/Agent <br /> 3'URQ-et7V\ )dt)_1(e4,13 0,--> <br />