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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 /> Front Setback area S 72°57' 40" E 254.01' F Side Setback area <br /> • Rear <br /> I Setback <br /> / / <br /> O z /////� <br /> �iii%�%ii %%� + area <br /> O / O <br /> 1- 10 Feet %% <br /> O � Needs a W <br /> eeeegeee Location 04._Setback <br /> W <br /> Q I w , \ Survey 169.8'Proosed J O <br /> CCiv 35. = N CD <br /> I ° N <br /> 1 N- — — —, 00 <br /> Zj///////f ��/j//j/ //j//A CO <br /> — —� Gl sllsll/L%GM�QGGVGGUGU[LC[!1`!1 s!ls11s11tGU <br /> • r <br /> 1 Side Setback area N 72°57'40" W <br /> 33' 33' <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 /> M\t M 1 V SIG AT RE: er/• s-nt 9/?.- ----A <br /> I <br /> 'J <br />