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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 /> r <br /> you may need this if . . . <br /> 33' 33' I <br /> f front Setback area S 72°57'40" E 254.01' --Side Setback area • <br /> /%T/JJ/%T/JJ/%J/�}J%T/J/�/J/J/T/�/�/h// I1 Rear <br /> C % 11' / � 4 area <br /> tack <br /> o <br /> M C� 10 Feet 1- M <br /> Needs a< 1//�/� <br /> W ---_ - > Location W •- <br /> � <br /> Q <br /> ta <br /> I W <br /> di !(1) Survey ~Setback W <br /> o <br /> O Proposed t--1,--A.,._."`"/- 169.8' <br /> Line CO <br /> +e N O Addition %� O <br /> re o 35. � & N Zo <br /> Z" — — —0: CO <br /> *7/ .7,jj J A <br /> co <br /> • r • <br /> Side Setback area N 72°57'40" W <br /> 33' 33' I ! <br /> 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 /> '//,kisf�L J/', 7/ 5/3C)//7 <br /> SIGNATURE: Owner/Agent ,_.---- <br /> Ceir":‘,V>7 7 _____. <br />