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�e; e*A Dane County Planning & Development . <br /> s ) 4� = Room 116, City-County Building, Madison, Wisconsin 53709 Land Division Review <br /> 'a,4�I1�29:01 6061266-9086 <br /> a�OM _ <br /> ��, Property Listing <br /> 608/266-4120 <br /> Surveyor <br /> • 608/266-4252 <br /> Zoning <br /> 608/266-4266 <br /> CERTIFICATION OF OFFICIALLY MAPPED AREAS TO APPLICANTS LANDS <br /> The undersigned applicant for a zoning permit under Chapter 10 of the Dane County Ordinances thus certifies <br /> as follows: . <br /> 1. That he or she has made diligent inquiry into the applicability of any official map to the applicant's land. <br /> 2. That no such official map is applicable or, if such map is applicable,the approval of the appropriate city <br /> or village has been obtained. <br /> 3. That the applicant has not relied upon any statements of County employees in giving these assurances. <br /> 4. That the applicant understands the possible adverse consequences of erecting any structure within an <br /> officially mapped area without the proper approval of the city or village involved. Any zoning permit <br /> issued for a property located within an officially mapped area for which the applicant has not obtained <br /> the proper permit from the appropriate village or city shall be null and void. (Ref §10.25 (6)(b) and (d) <br /> Dane County Zoning Ordinance) <br /> Dated this L day of ,20at Madison,Wisconsin. <br /> K7/ 1 4 e.<2,, <br /> 'Witness: <br /> Zoning Permit# <br /> 545 -3 (12/90)CERT MAPPED AREAS APPL]S LAND <br /> L <br />