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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' I I <br /> I I <br /> • Front Setback area S 72°57' 40" E 254.01' r Side Setback area • <br /> 1 _ Rear <br /> //// %J/�j%J/�/J� Setback <br /> Br/ //////////////�����i �ii% ��� i area <br /> O ! O <br /> O <br /> T' F- <br /> Nco <br /> co <br /> Q Needs a< 10 Feet / W <br /> ---_..___ Location <br /> \ Su <br /> Proposed <br /> SetbLU <br /> ack Q <br /> 0 N-. /..-ti169.8' / Line W .. <br /> o 0 Proposed <br /> CC N Q Addition O <br /> iV 35. � _ D LO <br /> O isl N <br /> _, <br /> o <br /> co <br /> ZJAd fn <br /> _ _ _ M <br /> • r fI Side Setback area N 72°57' 40" W <br /> I <br /> 33' 33' 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 /> Carolyn Levy 06/15/21 <br /> SIGNATURE: Owner/Agent <br />