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. A location survey, by a licensed�:surveyor, is requred if your constnurtion <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 complet i <br /> • A location survey shall be submitted to the zoning office before continuing work on the Rolect. <br /> • Note:A location survey may add significant cost to your project.Please contact a Wi'scohsin Licensed Land Surveyor. <br /> • 'r...V <br /> . you may need this if . . . <br /> ik.i 33' 33' I ' ' i. -,.ii I <br /> I I <br /> F°,I Sotbaca maa $72°57'40" E 254.01' r eldo Se ma r <br /> 1 ' Riv Setback <br /> - MO <br /> �" 10 Fact %��� e� <br /> �p Lx... c <br /> W <br /> Q I in , 1 N ,..—setback <br /> O �� 169.8'Pmposed <br /> CeN 0 I A4aroon o <br /> c 35.�� %% ' N Cb <br /> • r • <br /> I Sae.Setback sea N72°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 /> PRLN1: OwnedAgent DATE: <br /> 6.f.qo }c 2 G-R o Sko Pf (o, a-I i 7 <br /> 810 dApent <br /> l <br /> t <br /> . . <br /> •• • •..„ • . . .. . . .... _._. . . <br />