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A location suvey, by a licensed arveyor, is required if your construction <br /> is within 10 Beet 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 ' <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' rswe Setback area <br /> • <br /> I Rear <br /> CO Setback <br /> Prr y./. ',/ : / area <br /> ` / 10 Feet k t' <br /> O 110.1 Needs a. W V. <br /> > Location a iii <br /> O w 1 - Survey _ .—setback a <br /> N % Proposed �t'�`' ,`'^ 169.8' une ao <br /> A� Q Add4on <br /> �i T� iv 35. 2 D io <br /> fO �% �%� iv N <br /> F.,.. //j� j////j//j��/// �/ oD Z �iff,r !!! ILVLL(/`LVSIC/.!!/llJJ<L!JAi CO <br /> • r <br /> I Sete Setback area N 72°57'40" W <br /> 33' 33' l <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 /> /, 5/14/17 <br /> ,er te0,? 1- Kf,Sd--� pe + T-{r <br /> SIGNATURE: Owner r/Anent <br /> ZkA,A/a--'/ O W► e.A S -1 Li .,)131-1 <br />