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DCPZP-2015-00857
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DCPZP-2015-00857
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Last modified
10/26/2015 3:52:08 PM
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10/23/2015 4:07:09 PM
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Zoning Permits
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DCPZP-2015-00857
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OWNERS CERTIFICATE OF DEDICATION <br /> We, Jason Robert Klein & Kimberly Budenz Klein, hereby certify that we caused the land described to be <br /> surveyed, dedicated, divided and mapped as represented on the map. We also certify that this certified <br /> survey map is required by S.75.17(1)(a), Dane County Code of Ordinances to be submitted to the Dane <br /> County Zoning and Land Regulation Committee for approval. <br /> Ja •n Robert Klein Date <br /> .� (8 /2`1 l/s <br /> i berly Bude 'ft Klein • Date <br /> STATE OF WISCONSIN) )SS <br /> jJa.ne COUNTY) <br /> Personally came before me this Pi day •f r , 2015, the above Jason Robert Klein <br /> and Kimberly Budenz Klein to me known to b= the rsons who executed the foregoing instrument and <br /> acknov lodged'4hg,same. <br /> P1,8 JOHNS••,„ <br /> L�oli�sss�r—:� <br /> '.tarry °u•;�% • Wisconsin <br /> ay camriaiWexFrrRs? /0-//.21 <br /> c.5_v_OF W``--- <br /> ,.,'.,,n1,,s% <br /> CONS:NT OF MORTGAGEE <br /> I, U I Wv* .k• it. A CAI_ , as mortgagee of the above described land, do hereby <br /> consent to the surveying,dividing,de•icating and apping of the land described on this map. <br /> Dated this Z5 •day of • I. , 2015. ••..••.. <br /> OCtAAnt II i . •%:‘ .51. <br /> 1 f • '.9.F ' c��?•• <br /> ••• r. WISU�'•• <br /> STATE OF WISCONSIN) <br /> )SS <br /> C —7 COUNTY) <br /> Personally came before me this day of "5 , 2015, the above dkNA- 3 to me <br /> known to be the persons who executed the forego ng instrument and acknowledged the same. <br /> Notary Public Der Wisconsin ;`y�`• ,...„?...1;;,,,, <br /> My commission expires: 1�15,'�1} #:•' DANIEL�A * <br /> •� Q..... ••••.�. /Z," <br /> SHEET 3 OF 3 <br /> i <br />
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