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i <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' <br /> Front Setback area S 72°57'40" E 254.01' F Side Setback area <br /> I • 1 Rear <br /> D 1 Setback <br /> /�� #/ area <br /> 0 <br /> Or <br /> CO Needs a io Feet // w <br /> !!!! eee Location J - <br /> w I Survey �' setback W <br /> cn O - % ] •`�1" 169.8' une co <br /> N Q Addition� J O <br /> CC iv 35. % _ �� m io <br /> CO l's — _ _d_ • <br /> r <br /> • r <br /> I 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 /> - � <br /> J ;a \s CAq S-) i ( 0 2 <br /> . SIGNATURE:\Owner/Agent ' A,Ai w--)/\_. <br /> L_______00 <br />