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'BIRRENKOII SURVEYING INC <br /> t� Land Surveying and Soil Testing DANIEL V. BIRRENKOTT <br /> y b g 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: E3 R V C C ASE Date: f - 27- 0 9 <br /> Job Number: 0 9 0 2.1 P1 S ZP Number: r 2 n°9 0 601 l <br /> ( 2009 0(010 <br /> Legal Description: LOT 2 y CHERRY 141OO D v: F 1,,} —r'oQ N d F MOD LETOM, <br /> Site Address: DA AJ E COUNTY WI S CDNSI 14! <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 /> ✓ CONVENIENT SCALE (1"= 10' , 20' , 30' 4 ' , 50' , 60' , 100' , 200') A-E 7.05 (1) <br /> I/ 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 /> BOUNDARY MONUMENT SYMBOLS WITH LEGEND OR NOTE INDICATING FOUND <br /> OR PLACED A-E 7.05(4) r <br /> V LEGAL DESCRIPTION(Description must commeiac>r,from a USPLSS corhei!oi:existing <br /> platted lot corner) A-E 7.05 (5), A-E 7.04 <br /> V "SURVEYED FOR"NOTE A-E 7.05 (5) <br /> „ R!tli t110e le,. <br /> / DATE OF SURVEY A-E 7.05 (5) <br /> ✓ 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)] <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:\Docs2\Location Survey Checklist.doc <br /> RECEEVED <br /> NOV 1 8 2009 <br /> DANE COUNTY PLANNING&DZVELOPMENT <br />