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` r FORM <br /> • <br /> 4►tc mia, • <br /> Stock No. 26273 • <br /> 0000454 <br /> • <br /> DANE COUNTY APPROVAL CERTIFICATE <br /> Approved for recording by the Dane County Zoning and Natural <br /> Resources Committee. <br /> Pcf.:., 1,- /0, 1 '04 <br /> Date: 67b <br /> Norbert Scribner <br /> Authorizod Representative <br /> TOWN OF WINDSOR APPROVAL CERTIFICATE <br /> • <br /> Approved for recording by the Windsor Town Board this <br /> day of I.iUd•M"t✓- 199 (1 <br /> 6`G` <br /> 1 <br /> Authorii�d 'epre .e ►tative <br /> Windsor Town Boa/ . <br /> OWNER'S CERTIFICATE <br /> As owner ' s we hereby certify that we caused the land described to <br /> be surveyed, divided and mapped as represented on the map. We <br /> also certify that this certified survey map is required by <br /> S . 75 . 17( 1 ) (a) , Dane County Code of Ordinances to be submitted to <br /> the Dane County Zoning and Natural Resources Committee for <br /> approval . <br /> Dated this V2 day of 120c- 199.(-1. <br /> A. gr.eserleA4 <br /> Merlin R. Blie f ernich Sherry A. Bliefernich <br /> STATE OF WISCONSIN) • <br /> A.1+1 COUNTY)SS <br /> Personally came before me this "� day of --OQc-C-olb - <br /> 199[0, the above Merlin R. Bliefernich and Sherry A. Bliefernich <br /> to me known to be the persons who executed the foregoing <br /> instrument and acknowledged the same. <br /> ?C"IL(4-L) <br /> Notary Publici4nc Co , Wisconsin <br /> r <br /> 40PDA s�� <br /> My commission expires: 1-1L'`+S <br /> • <br /> * �ULS/.�/4,�. <br /> ( �3 <br /> ■ <br /> 1`ti <br /> I�OFWIS�� PAGE 3 OF 3 <br /> • <br />