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f <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 /> Front Setback area S 72° 57' 40" E 254.01' F Side Setback area <br /> 0 <br /> Fear <br /> V/ / ////' ',/i `iii%iY//i %%� Setback <br /> area <br /> o i//�j <br /> O � / a 0. <br /> en 10 Feet <br /> 0 Needs a W e- <br /> Location " , <br /> W <br /> CC <br /> W , 0 Survey 4,Setback Q <br /> 0 O Lrne w <br /> N � Reposed �� 169.8' <br /> Ce Add,00n <br /> —+ O <br /> i� 35. _ %� P in <br /> O N <br /> I'' - - -, ,- 0 <br /> CO <br /> _EziL Ai 0 <br /> M <br /> A41X[['L/� [ [LL <ll�'Ll::C1 �GC/ <br /> Side Setback area N 72° 57'40" W <br /> 33' 33' <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 /> PCk.t u''4 ' 1 G� l< Y (47"as �7- G <br /> i <br /> SI URE: Owner/Agent <br /> adj77-1L-C,LZ(--' K2-1'j- <br />