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JRN-12-2010(TUE) 14: 28 BIRRENKOTT SURVEYING (FRX)608 837 1081 P. 002/003 <br /> BIRRENKOII S INC <br /> Land Surveying and Soil Testing � DANIEL V. sfRRENKOIT <br /> Registered Land Surveyor•Certified Soil Tester <br /> P.O.Box 237.1677 N.Bristol Street•Sun Prairie,WI 53590•(608)837.7463-Fax(608)837.1081•www.hirrenkottsurveying.com <br /> Client Name:__Lodi ,J us-rim-1 151.41-064._‹. Date: / /e <br /> Job Number: O D Y' ZP Number: eco 2070a <br /> Legal Description: 2 s q,,,,,, . Cam. c,'Z. <br /> Site Address: VEr..,k, Re,40 <br /> . .. 7OROVIDE'LVCOP TOYOUR.SURVEVO <br /> A Dane County Location Survey is not exempt from the minimum standards for property surveys, <br /> Chapter A-E 7 of Wisconsin Administrative Code. All of the items listed on this checklist must be <br /> included for Dane County Zoning Division acceptance. <br /> X CONVENIENT SCALE (1"= I0' ,20' ,30'437,50' , 60' , 100' ,200') A-E 7.05(1) <br /> X NORTH ARROW AND REFERENCE NOTE A-E 7.05(2) <br /> X BEARINGS AND DISTANCES OF BOUNDARIES OF PARCELS TO THE NEAREST 30 <br /> SECONDS AND 11100th FOOT A-E 7.05(5) <br /> X BOUNDARY MONUMENT SYMBOLS WITH LEGEND OR NOTE IDJ1C,4,'1NG FOUND <br /> OR PLACED A-E 7.05(4) '"'4 <br /> .�` �r� C�PV °�• <br /> / \l`,1,2:-..„S/4/ ",„ <br /> X LEGAL DESCRIPTION(Description must commence from a ISPL I 9rn or"existin ;, . <br /> platted lot corner) A-E 7.05 (5).A-E 7.04 = �' +`l I ! U <br /> _ 6;RP2NI<OTT <br /> X "SURVEYED FOR"NOTE A-E 7.05(5) S r'31 " <br /> s 1. Sun PraIfiE, •" <br /> DATE Of SURVEY A-E 7.05(5) -•7A wl rr P <br /> 4„ <br /> X SURVEYORS CERTIFICATE WITH STAMP OR SEAL AND STG i T��(Mdst�certify <br /> "this survey is correct to the best of surveyor's knowledge and belief') A-E 7.05(6) <br /> X ALL NECESSARY SETBACKS AND DISTANCES FROM STRUCTURES REQUIRED BY <br /> CONDITIONS OF PERMIT. MAP MUST ALSO NOTE PERMIT NUMBER <br /> D C O 10.01(3 0 m), 10.25(3)(a)1 <br /> THE SURVEYOR IS RESPONSIBLE FOR FILING THE SURVEY MAP IN THE COUNTY <br /> SURVEYORS OFFICE WITHIN 60 DAYS OF COMPLETION. A-E 7.05(7),ss59.45(1)b <br /> Surveyor and client may agree, in a signed statement, to exclude monumentation requirement. To do so, <br /> survey map must include a note,which states that an agreement to exclude work from the requirements of <br /> A-E 7 has been made and the names of the parties making the agreement:. <br /> All other items are required either by Administrative Code or Dane County Ordinance. <br /> K:1Does2\Location Survey Checklist.doc <br /> • <br />