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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 /> ( <br /> you may need this if . . . <br /> 33' 33' ! I <br /> I <br /> Front setback area S 72°57'40" E 254.01' r Side setback area <br /> • +I 0 <br /> Rear <br /> Set <br /> r// X(J ����/////jii j 1 � areback <br /> O r <br /> 1 :::::: Needs a 10 Peet / w 7 <br /> eeeeeeee Location / W <br /> `.:t.' <br /> CI I w , N Survey Ø4LrOPr`° d 169.8' oD <br /> cc N 0 Addition n O <br /> 0 iv 35 . _ i7- N <br /> .."Pilff.ff- J ff A 1_ _ M <br /> • <br /> r • <br /> Side setback area N 72° • <br /> 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 /> ��;lLness t!2 /�/.5 ./ <br /> SIGNATURE: Owner/g�lent'� ,�/J/^^ 0^� <br /> yy11((//jf 'c/h//t��� <br /> I <br />