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CERTIFIED SURVEY MAP No. <br /> PART OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER (ALSO KNOWN AS GOVERNMENT LOT 1) <br /> OF SECTION 28, TOWNSHIP 06 NORTH, RANGE 10 EAST, TOWN OF DUNN, DANE COUNTY, WISCoNSIN <br /> OWNER'S CERTIFICATE <br /> Suzanne 8. Severson, as owner, do hereby certify that I caused the land described on this Certified Survey <br /> Mop to be surveyed, divided, mopped and dedicated os represented on sheet 1 I also certify that this <br /> Certified Survey Map is required by 5.236,34 of the State Statutes and by 75.17(1)(a) of Dane County Code <br /> of Ordinances to be submitted to the following for approval or objection: <br /> TOWN OF DUNN <br /> DANE COUNTY ZONING AND LAND REGULATION COMMITTEE <br /> WITNESS the hand and seal of said owners, this ___ day of , 20__. <br /> Suzanne B. Severson <br /> State of Wisconsin ) <br /> County of Done )ss. <br /> Personally come before me this ___ day of , 20__, the above named Suzanne B. Severson, <br /> to me known to be the person who executed the foregoing instrument and acknowledged the some. <br /> Notary Public: <br /> My commission expires/is permanent: <br /> County Planning Agency Approval <br /> This Certified. Survey Map is hereby approved by the Done <br /> County Zoning and Lond Regulation Committee <br /> this day of , <br /> Daniel Everson, Authorized Representative <br /> TOWN OF DUNN APPROVAL <br /> Approved for recording per the Town of Dunn Committee Action on the ___ day of <br /> 20__. Furthermore, the public highway right—of—way dedication designated herein is hereby acknowledged <br /> and accepted by the Town of Dunn. <br /> Authorized Representative <br /> Office of County, W confsDeeds ``� 0011"11110 //I/ <br /> Received for Record t <br /> 20___ at 1^ FRA K J. <br /> o'clock __M os = LAP EK <br /> Document No. = wwwww����llll� S-2658 g <br /> Poynette ' <br /> in % WI <br /> 041-177-4 e- <br /> 4/2 11111111 0\ <br /> Register of Deeds <br /> SURVEYED BY : <br /> MAP N0. 15u r S v <br /> DOCUMENT NO. surveying engineering s <br /> 1400 E.Washington Ave.Suite 158 <br /> VOLUME PAGES Madison,WI 53703 608.250.9263 <br /> Date: April 02, 2014 Fax:608.250.9266 <br /> Plot View: csm email:Mburse©135E-INC.net <br /> \BSE1515\CSM\BSE1515CSM1LOT.DWG www.bursesvnveyengr.corn SHEET 3 OF 3 <br />