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DEC-07-2009(MON) 11 : 13 BIRRENKOTT SURVEYING (FRX)608 837 1081 P. 002/003 <br /> BIRRENKOIT SURVEYiNG, INC DANIEL Y. BIRRENKOTr <br /> Land Surveying and Soil Test ng Registered Land Surveyor•Certified Soil Tester <br /> P.O.Box 237 1677 N.Bristol Street-Sun Pra He,WI 53590•(608)837.7463•Fax(608)837.1081•www.birrenkottsurveying.com <br /> • <br /> Client Name: t<€,TN Cow -4.4. Date: //- Z.3-o 54 <br /> Job Number: o?o V4 ZP Number: 2oo9oVJJ <br /> Legal Description: ! r'/€ % c. 241-�S-s_ ��, j ,,,�r, ,cam j,Qek,P,r 0,, <br /> Site Address: 78 S �,4 "e R...a 2... to k1 c 9"I'o��►�r"o rl <br /> w1$C.42/4 I,1 `"'x <br /> LOCATIONS SURVEY CHECKLIST <br /> (PROVIDE A ' OPY TO YOUR SURVEYOR) <br /> A Dane County Location Survey is not 'xcmpt from the minimum standards for property surveys, <br /> Chapter A-E 7 of Wisconsin Administrati e Code. All of the items listed on this checklist must be <br /> included for Dane County Zoning Division•cceptance. <br /> CONVENIENT SCALE (I"= Ii' ,20 ,30' ,40' ,50' ,60' , 100' ,200') A-E 7.05(1) <br /> X NORTH ARROW AND REFERE, CE NOTE A-E 7.05 (2) <br /> X BEARINGS AND DISTANCES OF BOUNDARIES OF PARCELS TO THE NEAREST 30 <br /> SECONDS AND 1/100'FOOT A-E 7.05(5) <br /> X BOUNDARY MONUMENT SY BOLS WITH LEGEND OR NOTE INDICATING FOUND <br /> OR PLACED A-E 7.05(9) �,,,,i"iii� «,, <br /> x\SC <br /> X LEGAL DESCRIPTION(Descrip lion must commence from .eSPI' Iitiier p7 exi tj,ng• <br /> platted lot corner) A-E 7.05 5),A-E 7.04 z '' [1.ti1vIEL V \ <br /> - ; E�RRN4KOTT x X "SURVEYED FOR"NOTE •-E 7.05(5) - * 1< sun 5-1531 <br /> riG x <br /> r <br /> X DATE OF SURVEY A-E 7.15(5) =F / • WI <br /> '•••�....... ' 0 <br /> X SURVEYORS CERTIFICATE TFI STAMP OR SEAL AND'SI i <br /> est certify <br /> "this survey is correct to the best a'sttrveyor's knowledge and belief") 7.05(6) <br /> X ALL NECESSARY SETBACKS ND DISTANCES FROM STRUCTURES REQUIRED BY <br /> CONDITIONS OF PERMIT, M• P MUST ALSO NOTE PERMIT NUMBER <br /> DCO 10.01(30m). 10.25(3)(a)1 <br /> THE SURVEYOR IS RESPONSIBLE FO' FILING THE SURVEY MAP IN THE COUNTY <br /> SURVEYORS OFFICE WITHIN 60 DAY' OF COMPLETION. A-E 7.05(7),ss59.45(1)b <br /> Surveyor and client may agree, in a signed statement, to exclude monumentation requirement. To do so, <br /> survey map must include a note,which stat.s that an agreement to exclude work from the requirements of <br /> A-E 7 has been made and the names of the parties making the agreement. <br /> All other items are required either by Admiilistrative Code or Dane County Ordinance. <br /> K:1Docs2\Location Survey Checklist.doc <br />