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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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Date Date <br /> Cis/v G� (/' v <br /> Signature of Grantor(owner) Signature of Grantor(owner) I <br /> Br o.v\ S. W;sv..1`we` Y ic�or',q a. 1o� 1 (wel <br /> `Name printed "Name printed <br /> cIct <br /> JAMIE STUEBER <br /> Notary Public STATE OF WISCONSIN,County off <br /> State of Wisconsin Subscribed and sworn to before me on I1 I <br /> .21r,))5". <br /> by the above named person(s). <br /> Signature of notary or other person <br /> authorized to administer an oat (5. 2V/..X.a&Z.1— <br /> (as per s.706.06,706.07) p <br /> 'Names of persons signing in any Print or type name:C , p� <br /> —�1 ,v <br /> capacity must be typed or printed 1� 51 I b 2 <br /> below their signature. Title n '(i 1 Date commission expires: <br /> • <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:\Uscrs\AKasper\AppData\Local\Microsoft\Windows\Temporary Internet Files\ContcntOutlook\163A 1002\10774 dccd restriction.doc <br />
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