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i BIRRENKOTI SURVEYING, k. DANIEL V. BIRRENKOTT
<br /> ii Land Surveying and Soil Testing Registered Land Surveyor•Certified Soil Tester
<br /> P.O.Box 237. 1677 N. Bristol Street•Sun Prairie,WI 53590•(608)837.7463 •Fax(608)837.1081 •www.birrenkottsurveying.com
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<br /> Client Name: /(�fi/TN C0M 4 rb c-t— Date: /l- 23-0 ?
<br /> Job Number: 090 y6o ZP Number: Zoo90 y//
<br /> Legal Description: ,i cr A// 7y-,vE /s' , stc. 20 -s"-// , T,,„i Qu,.. .4 ,1.),4,✓E Co,,
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<br /> Site Address: 78 6 TA Y L o R. [.A kJ 5-ro , 4,NT"o t-1 1 W SCort 514
<br /> LOCATION SURVEY CHECKLIST
<br /> (PROVIDE A COPY TO YOUR SURVEYOR)
<br /> A Dane County Location Survey is not xempt 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 /> X. CONVENIENT SCALE (1"= 10' ,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 IF 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(4) 0,„0,,, ,,,,,I.,,/,//
<br /> X LEGAL DESCRIPTION(Descrip ion must commence from L)51 ,;�3'°6°or r.,p, existing
<br /> platted lot corner) A-E 7.05 5), A-E 7.04 _ ''T ` ;,,;E1 �' \
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<br /> X "SURVEYED FOR"NOTE •-E 7.05 (5) . ,'• ? S- ;; n' •
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<br /> X DATE OF SURVEY A-E 7.15 (5) - i W 1 .r°",,1_
<br /> A SURVEYORS CERTIFICATE TH STAMP OR SEAL AND'SI,C A[I .c-O ist certify
<br /> "this survey is correct to the best •f surveyor's knowledge and belie/0" ',.∎HIVE 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 /> D C O 10.01(3 0 m), 10.2 5(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 states 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 Administrative Code or Dane County Ordinance.
<br /> K:\Docs2\Location Survey Checklist.doc
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<br /> FECEIVED
<br /> DEC 8 2009
<br /> DANE COUNTY PLANNING&DEVELOPMEN
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