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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 /> I <br /> I <br /> is_.—Front Setback area S 72°57'40" E 254.01' 1 Side Setbacic area <br /> Rex <br /> ' � '/,. ��� ��//////// � rem` <br /> l j �/y 10 Feet ��� f,, r..co <br /> Needs a \` W <br /> !!!!!!e Location w <br /> Q I to I w <br /> ,/ , Survey,/.,..- adc 3 <br /> /0y p % Pro p`'osed wc�`�^ 169.8' Ø4_une <br /> a O A f... _ _ 4 iv 35. = 7 io <br /> O �%% N <br /> r CO <br /> Z <br /> SF .4Wj JAI <br /> — — <br /> • r <br /> Side setback area N 72°57'40" W <br /> 33' 33' <br /> J <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 PIS nnin &9eveloment to determine compliance with the county's zoning ordinances.This consent is <br /> valid for the toll icut wit �issu of this zoning permit and terminating with issuance of a certificate of <br /> compliance t e�rii r Ad4h ritiln by the owner of the property. <br /> PRINT: Owner/Agent DATE: <br /> Kathryne Kip ie;; '' ' 07/03/17 <br /> SIC.?NATU� Owner/Agent <br /> Via <br />