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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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X26- /5 <br /> Ade AC /.3". <br /> Date • / Date % <br /> X- C " <br /> Signature of Grantor er) • Signature of Grantor(o• <br /> C a%. S . r <br /> *Name printed 'Name printed <br /> STATE OF WISCONSIN, County of <br /> '• ::~'Y Eti IL <br /> �'r r ,_t; Subscribed and sworn to before me on c2—aZ TJ� / S by the above named person(s). <br /> Pu.� C <br /> ^,+ . • ^t ';.'s'`'i Signature of notary or other person L/1 <br /> authorized to administer an oath <br /> (as per s.706.06,706.07) II 1 / /yUUt <br /> Print or type name: A)/1-N Y /,`O1 <br /> 'Names of persons signing in any (( <br /> capacity must be typed or printed �{�� ?v6�' /tS/! <br /> below their signature. Title / Date commission expires: • <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 Fiies\Content.Outiook\163A1002\10774 deed restriction,doc <br />
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