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S <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 <br /> I I <br /> Front Setback area S 72°57'40" E 254.01' F.Side Setback area <br /> 1 • - Rear <br /> P 5,/��������/////�������� 1. Setback <br /> area <br /> O <br /> 10 Feet / F ;•.).: <br /> 0 t— Needs a / W <br /> eeeIMeee Location 0+_Setback <br /> u, <br /> Q W <br /> LJ1 , 0 Survey Q <br /> 169.8'ped <br /> • O <br /> CC iv 35. % � i• s <br /> oO �%� N <br /> r...I_ _ _ _o_ <br /> O <br /> .t_ <br /> 1 Z <br /> — —� <br /> co <br /> • r <br /> �1�11�11�LAG lFLGULGULGJGYL�l1�11�11�11�11J A <br /> I Side Setback area N 72°57'40" W <br /> 33' 33' I 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 /> 17DAA-Ca ee--� ' Aa-,1 .�j,.-cAoc. (r / (z ze [ i <br /> SIGNAT / / <br /> ner/Agent(7......7 <br /> /9......._ <br />