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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 /> Front Setback area S 72°57' 40" E 254.01' F Side Setback area i <br /> • _ Rear <br /> f/ ff //4 <br /> C Cr <br /> 10 Feet �% I- <br /> I—a / W <br /> 0 Ff.M1ee Location // W <br /> Q1 LU I Survey Ø+....Sethack 169.8'posed F- pp <br /> et <br /> N 0 Addition J O <br /> iv 35. _ ev io <br /> O— N N <br /> O CO <br /> Z <br /> J .4 <br /> _ _ _ M <br /> • r tSide 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 /> �i /'11 1 f kt,./ c ..)-1---„i c_ / • - g-/ 7 <br /> SIGNATURE. Owner/A• <br /> 1 <br /> - <br />