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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 /> E �w I <br /> E <br /> Front Setback area S 72°57'40" 254.01' f—Side Setback area l <br /> I • Rear area <br /> Setback <br /> r.. 10 Feet %�� F. S <br /> Needs a �, z <br /> Q O I W , 11•1 ____..___ Location <br /> Survey <br /> Ø4....Sethack ■o ?ropased 169.$'N Q Z O <br /> IX <br /> iv 35. %// _ . <br /> z co <br /> r o <br /> CO <br /> N." <br /> r <br /> I Z <br /> __y,f7J.04,JJff.J JA . <br /> _ _ <br /> • r • <br /> I Side Setback area <br /> N 72°57'40" W <br /> 33' 33' <br /> 1. 1,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 /> Kam1-A.C,(2.) ,4- CD-q_ 5----k(0 17 <br /> SIGNATURE: Owner/Agent cgic7c._ <br /> iyet :Xiiis.A.....) <br />