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CER?IF7CATIOR OF OFFICI,Y <br /> MAPPED AREAS TO APPLICANT'S LANDS <br /> The undersigned applicant for a zo ing permit under Chapter 10 of the Dane <br /> County Ordinances thus certifies als follows: <br /> 1. That he or she has made dilig t inquiry into the applicability of any <br /> official map to the applicant' land. <br /> 2. That no such official map is applicable or, if such map is applicable, the <br /> approval of the appropriate city or village has been obtained. <br /> 3. That the applicant has not relied upon any statements of County employees <br /> in giving these assurances. <br /> 4. That the applicant understands the possible adverse consequences of <br /> erecting any structure vi thin officially mapped area without the proper <br /> approval of the city or village involved. Any zoning permit issued for a <br /> property located within an officially mapped area for which the applicant <br /> has not obtained the proper permit from the appropriate village of city <br /> shall be null and void. (Ref. $10.25 (6)(b) and (d) Dane County Zoning <br /> Ordinance) <br /> Dated this _L_ day of , ,, 197, at Madison, Wisconsin. <br /> t (i-d-X4 n <br /> Witness: <br /> Zoning Permit I <br /> 545 — 3 (12/90) CERT MAPPED AREAS APFLI'S LARD <br />