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4 f <br /> 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 II <br /> 1 <br /> Front Setback area S 72°57'40" E 254.01' Side Setback area • <br /> • - Rear <br /> O 7 %/iiiiiiiiii/////%iii%/�i�i�i�/ 1 ate, ` <br /> 4 o / o <br /> r 10 Feet , F a. <br /> Cli V' <br /> �� Needs a W <br /> !!!!!!!! Location a iu <br /> Q I w 0 Survey Ø+_LuIe 169.8' = <br /> 0 <br /> Ce N Q )1..bon O <br /> Cu 35. 0 I m <br /> O it N <br /> _ <br /> Z <br /> _iirJg.4 e.' JJJA . <br /> _ _ <br /> • <br /> I Side Setback area N 72°57'40" W I <br /> 33' 33' 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 /> Ph k� <br /> 1�� X111 A . /�/?.... <br /> SIGNATURE: Owner/Agent p. I /4, , ll <br />