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BIRRENKOTI SURVEYING INC <br /> �I\ Land Surveying and Solt Testing DANIEL Y. BIRRENKOrr <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.birrenkottsurveying.com <br /> Client Name: tu;2E,:/ Cud Date: /—8 -/ <br /> Job Number: D 5c 5"V ZP Number: 2.C3t 90708 <br /> Legal Description: Loy— 27 SAvq,.,,v,q y j,4 c.c.E rf Tu,Y S✓.v 014"I <br /> Site Address: V‘c..K /Zo,40 <br /> LOCATION LOCATIONSIMVEILCHEMIaST <br /> (PR0vIDE A COPT''`TO DOUR SYTRVEYt R <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 (I"= 10' , 20' ,30' 40' , 50' , 60' , 100' , 200') A-E 7.05 (1) <br /> K 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 1/100`h FOOT A-E 7.05 (5) <br /> X BOUNDARY MONUMENT SYMBOLS WITH LEGEND OR NOTE 11,DId ATING FOUND <br /> OR PLACED A-E 7.05(4) ` <br /> X LEGAL DESCRIPTION (Description must commence from a LISPL5'S, 9rne o�existing-? <br /> platted lot corner) A-E 7.05 (5), A-E 7.04 g R 7 , <br /> X "SURVEYED FOR"NOTE A-E 7.05 5 * <br /> fur r,�in.-. <br /> X <br /> DATE OF SURVEY A-E 7.05 (S) °z4 <br /> � /j, mampmorm 0 <br /> X SURVEYORS CERTIFICATE WITH STAMP OR SEAL AND SIGNA ',IAy rti <br /> "this survey is correct to the best of surveyor's knowledge and belief") A .1££ )L g E <br /> X ALL NECESSARY SETBACKS AND DISTANCES FROM STRUCTURES REQUIRED BY <br /> CONDITIONS OF PERMIT. MAP MUST ALSO NOTE PERMIT NUMBER J4 i 1 4 23;0 <br /> DCO 10.01(30m), 10.25(3)(a)1 <br /> THE SURVEYOR IS RESPONSIBLE FOR FILING THE SURVEY MAP IN TH Cf OW--CRi=r-1 a LL`'' l-:+ 'gal slT <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:\Docs2\Location Survey Checklist.doc <br />