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FEB: 12-2010(FRI) 12: 22 BIRRENKOTT SURVEYING (FAX)608 837 1081 P. 002/003 <br /> BIRRENKOII SURVEYING INS <br /> • fu1 Land Surveying and Soil Testing DANIEL V. BIRRENKOrr <br /> Y b Registered Land Surveyor•Certified Soil Tester <br /> P.O.Box 237.1677 N.Bristol Street•Sun Prairie,W153590-(608)837.7463•Fax(608)837.1081•www.birrenkottsurveying.corn <br /> 1 <br /> Client Name: 46-t4 4u1 .. r 's ... Date: //—/9'-20/6" <br /> Job Number: a5:0,99V ZP Number: 2009C?7? <br /> Legal Description: [.o C, r ,� ,,y A744,,g, <br /> Site Address: 77:1,/"/ du& AA <br /> LOCATION SURVEY CHECKLIST <br /> (PROVIDE A COPY TO YOUR SURVEYOR) <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' <br /> ` CONVENIENT SCALE (1"= 10' ,20' ,30' 4 1 ,50' ,60' , 100' ,200') A-E 7.05(1) <br /> X NORTH ARROW AND REFERENCE NOTE A-E 7.05(2) <br /> BEARINGS AND DISTANCES OF BOUNDARIES OF PARCELS TO THE NEAREST 30 <br /> SECONDS AND 11100th FOOT A-E 7.05 (5)- <br /> ,.,.ttfl/fflflNff'f <br /> BOUNDARY MONUMENT SYMBOLS WITI-I LEGT;�11 1PN4'l'IM,;INJX• ICATING FOUND <br /> OR PLACED A-E 7.05(4) ``� �` <br /> ,{'�•C'.:,tN i E l <br /> _X_ LEGAL DESCRIPTION(Description must commerce f oii et3SPl SS corner o• "r existing <br /> platted lot corner) A-E 7.05 (5),A-E 7.04 = * S-i <br /> Sun <br /> "SURVEYED FOR"NOTE A-E 7.05 (5) '; f ••.• <br /> DATE OF SURVEY A-E 7.05(5) '',,, S U R\ <br /> ' ttttt tttNNtt <br /> X SURVEYORS CERTIFICATE WITH STAMP OR SEAL AND SIGNATURE(Must certify <br /> "this survey is correct to the best of surveyor's knowledge and belief') A-E 7.05(6) <br /> ALL NECESSARY SETBACKS AND DISTANCES FROM STRUCTURES REQUIRED BY <br /> CONDITIONS OF PERMIT. MAP MUST ALSO NOTE PERMIT NUMBER <br /> DCO 10.01(30m), 10,25(3)(a)1 <br /> THE SURVEYOR TS 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)h <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 op-cement. <br /> All other items are required either by Administrative Code or Dane County Ordinance. <br /> K:\Docs21Location Survey Checklist.doc <br />