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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• <br /> Front Setback area S 72°57'40" E 254.01' r Side Setback area f <br /> I - Rear <br /> Vir /iiiii %�/�/�/� I Setback <br /> a <br /> O / /# <br /> Q CI; Needs a 10 Feet Z <br /> Location a <br /> Q I 1 survey < CO 0 c 3 Pro ea\L6v;""\ 169.8' 0 `'ne c <br /> CC N / Q Addition : , O <br /> N 35. I D CO <br /> O Uj � � N <br /> c 0 <br /> 1 z m <br /> _r#7. #4r JLLC/L�!/LL!/s'l!�'!1�'ll�lltGC/J. r t <br /> I side setback area N 72°57'40" W ' <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 /> 01/1 L M Li Mcanr{- 9- 7 -1Of <br /> SIGNATURE: OwnerlAgee t <br /> 44?(/%1 - <br />