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/i401;'-Yrot\, DANE COUNTY CLERK <br /> City-County Building, Room 106A <br /> •- <br /> '‘ 11737 210 Martin Luther King, Jr. Boulevard <br /> Madison, Wisconsin 53703 <br /> (608) 266-4121 <br /> SHERRI ENDRES <br /> SCOTT McDONELL CHIEF DEPUTY <br /> COUNTY CLERK (608) 266-4122 <br /> REPORT ON ZONING ORDINANCE/PETITION NO. 10577 <br /> PETITIONER: Patricia E. Anderson Living Trust <br /> TO THE DANE COUNTY CLERK: <br /> At a meeting held on , the Town Board of ; J <br /> Li APPROVED <br /> CI DISAPPROVED <br /> the ordinance as amended by the Dane County Board of Supervisors. <br /> This will certify that the following is a true and correct resolution: <br /> RESOLUTION <br /> RESOLVED by the Town Board of that Zoning <br /> Ordinance/Petition No. , be, and the same hereby is, <br /> CI APPROVED <br /> CI DISAPPROVED <br /> Dated this day of CLERK <br /> , 20 . TOWN OF <br /> PLEASE RETURN THIS GOLDENROD FORM TO THE DANE COUNTY CLERK'S OFFICE. <br /> C L.c, <br />