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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 /> • <br /> Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> Rear <br /> r. .// / 1 Setback <br /> area <br /> 0 <br /> o <br /> 0 CO Location Needs a to Fee` i M <br /> W <br /> Q I w , N SuNey ,~Setback <br /> ON % D Proppoosed 169.8' Line fo 0 Addrtbn <br /> N 35.0 t i= °,.. . <br /> co <br /> re <br /> o • m <br /> ▪ a <br /> ) I str ,:/.� rn <br /> _ _ <br /> • r <br /> I Side Setback area N 72°57'40" W <br /> 33' 33' <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: OwnedAgent DATE:pkrrA zoo, <br /> 1 q(‘ et4N.., e_ vkLeltivrrAk. iA C UR-ii Own@dA. 0t , r <br /> -�. • <br /> 111s•r -•= <br /> b <br />