Laserfiche WebLink
�op� <br /> f . . 1I Dane Cou ty Planning & Development <br /> ,, w q City-Coun I, Building, Madison, Wisconsin 53709 <br /> Planning <br /> Room 116,6082664251 <br /> Zoning <br /> Room 116,608266-4266 <br /> CERTIFICATION OF OFFI • Y MAPPED AREAS TO community Development <br /> Room 421,608261-9781 <br /> APPLICANT' LANDS <br /> Records&Support <br /> Room 116,608266-4251 <br /> The undersigned applicant for a zo a'II permit under Chapter 10 of the Dane County <br /> Ordinances thus certifies as follows: <br /> 1. That he or she has made diligent in.uiry into the applicability of any official map to the <br /> applicant's land. <br /> 2. That no such official map is applic. ale or,if such map is applicable,the approval of the <br /> appropriate city or village has been obtained. <br /> 3. That the applicant has not relied u.on any statements of County employees in giving <br /> these assurances. <br /> 4. That the applicant understands possible adverse consequences of erecting any <br /> structure within an officially mapped area 'thout the proper approval of the city or village <br /> involved. Any zoning permit issued for a . sperty located within an officially mapped area for <br /> which the applicant has not obtained the pro - permit from the appropriate village or city shall <br /> be null and void. (Ref. §10.25 (6(b) and(d) II ane County Zoning Ordinance) <br /> Dated this 12' day of (9i C 20 O i, at Madison,Wisconsin. <br /> j - /' / <br /> Signed: -.. ' - - -...A. ,,, . A _ ,, ,.. <br /> Or _ <br /> Witness: (:, imp, _ <br /> Zoning Permit# t e- )--o/ <br /> FORMSLIB:CERT MAPPED AREAS • 'PLI'S LAND(12/2003) <br />