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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' ,Side Setback area <br /> • <br /> Rear <br /> ,,X/ iiiii i /� 1 Setback <br /> o <br /> o o <br /> 10 Feet F. e- <br /> O V Needs a z01 <br /> !!!ecce! Location Ø�_.Setback <br /> W <br /> Q 1 w I Survey 169.8'O O <br /> dProposed � O <br /> CC a 350 <br /> . %/ 17:iv co <br /> N <br /> 0 <br /> co <br /> f, _ _ _a_ %��%/moi N <br /> ,_1 Z u, <br /> • <br /> _ _ _w:Llisi�CG'LiJ[sLCs'L/siLs'LL�'lL�'Jl�ll�CC/J Jidi <br /> • Y N 72° 57'40" W <br /> Side Setback area <br /> 33' 33' I 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 /> JO ki0J J 0. J 7 - 12 - dg <br /> SIGNATUR : Owner/Agent <br /> rte. - <br />