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DCPZP-2015-00160
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DCPZP-2015-00160
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4/23/2015 10:19:26 AM
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4/23/2015 10:16:17 AM
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Zoning Permits
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DCPZP-2015-00160
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.. <br /> Signature .4.unty Clerk <br /> By: <br /> Scott McDonell, +e County Clerk <br /> STATE OF WISCONSIN,County of nrhy\(_ <br /> Subscribed and sworn to before me on •7/2. J 1 y by the above named person(s). <br /> Signature of notary or other person / _,/JCf_ uti/� <br /> authorized to administer an oath /(( <br /> (as per s.706.06, 706.07) I ,� ` <br /> Print or type name: —71—wA(TA K /vei jC1k <br /> Title Aktu rtj POD I IC- Date commission expires: y�. -� <br /> J -'Signature of own Clerk <br /> By: <br /> cig, <br /> Dawn George, T wn of Rutland Clerk <br /> STATE OF WISCONSIN,County of .s. a • <br /> Subscribed and sworn to before me on S by the above named person(s) ` 01 rriiiiri,,,i <br /> Signature of notary or other person .`%.\‘‘4),.. n' ��'e,, <br /> authorized to administer an oath ' , /, .` • A S. <br /> (as per s.706.06,706.07) .�O R j. • <br /> Print or type name: s.2// k rr- a* • * ' <br /> V V %t,) .;c,0•t B '\G :2•Title J°*1' Date commission expires: OD , n/g S111•. • .;S: <br /> /s71 Signature of Owner(s) S / <br /> Date D // <br /> ' -ifk..0\,\,,Cci iti -)')"\A, L.----...!f' // tik-i-kk.-_____ <br /> Signature of Gr ntor(bwner) Signature of Gran •r .wner) <br /> an y y . m t✓'el i e 1� wvi a1 -I /"Yl o Q I I q r" <br /> 'Name prime d `Name printed <br /> STATE OF WISCONSIN,County of 0i!Q A) 0\\\111ttt`1111////���,/ <br /> Subscribed and sworn to before me on 41/61i5;s/2 by the love named person(s). \ \4 ..S.......M . 0���S <br /> Signature of notary or other person ' I : _\• :• O 1 18,7 'r:: <br /> authorized to administer an oath = S t 1- <br /> (as per s. 706.06,706.07) ) <br /> Print or type name: �JJLd/li /eG-fJ v0%. bl 0� \1 <br /> / ���...... <br /> Title - f&tie Date commission expires: 5/.41 f-7p/v iJ 1.1t4\.°\\ <br /> //lilllt1111 \\\ <br /> This document was drafted by: <br /> (print or type name below) <br /> Dane C ounty Zoning Administrator <br /> 'Names of persons signing in any <br /> capacity must be typed or printed <br /> below their signature. <br /> P&D form 2/20/2001 <br />
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