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DCPREZ-2014-10774
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DCPREZ-2014-10774
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Last modified
8/13/2015 2:27:22 PM
Creation date
8/13/2015 2:26:52 PM
Metadata
Fields
Template:
Rezone/CUP
Rezone/CUP - Type
Rezone
Petition Number
10774
Town
Bristol Township
Section Numbers
22
AccelaLink
DCPREZ-2014-10774
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2 -2 1-1 - IS- 0-44/i ce <br /> Date Date <br /> 7:j11---ta-"------ (A)K.)„,_7‘ , I ..---..._ <br /> Signature of Grantor(o r) Signature of Grantor(owner) <br /> fnom0.S S. U0bV_K Anne !• QQ be h <br /> 'Name printed 'Name printed <br /> STATE OF WISCONSIN,County of 641 <br /> DEB HOLMEN Subscribed and sworn to before me on /gy//c-- by the above named person(s). <br /> Notary Public Signature of notary or other person e <br /> State of Wisconsin authorized to administer an oath / A <br /> 4vAr.: , (as per s.706.06,706.07) I_ - <br /> "Names of persons signing in any Print or type name: //l�V1GS j f,>e k.. J�h[ �'Y�nL / 66 Let k <br /> capacity must be typed or printed Title V/�1Q/� Date commission expires: ���j�6 <br /> below their signature. <br /> P&D form 2/20/2001 <br /> Date Date <br /> Signature of Grantor(owner) Signature of Grantor(owner) <br /> 'Name printed *Name printed <br /> STATE OF WISCONSIN,County of <br /> Subscribed and sworn to before me on by the above named person(s). <br /> Signature of notary or other person <br /> authorized to administer an oath <br /> (as per s.706.06,706.07) <br /> 'Names of persons signing in any Print or type name: <br /> capacity must be typed or printed Title Date commission expires: <br /> below their signature. <br /> P&D form 2/20/2001 <br /> C:\Users\AKasper\AppData\Local\Microsoft\Windows\Temporary Internet Files\ContentOutlook\163A1002\10774 deed restriction.doc <br />
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