Laserfiche WebLink
• r BIRRENKOTI SURVEYING INC <br /> 11, DANIEL V. BIRRENKOTf <br /> 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 <br /> f • <br /> Client Name: \J E R1 DI A/4 )--\o M E s Date: 10 - ) 4)- Q 9 <br /> Job Number: O 9 02. e 5 ZP Number: ,Zoo 9- .1)45/2 <br /> B <br /> Legal Description: L or g 9, S P K Vc, E H o LLO W <br /> Site Address: Tow kg of 141 DOL E Loo DM/J COUNT y (ka,sCoilSbil. <br /> LOCATION SURVEY CHECKLIST <br /> (PROVIDE A COPY TO YOUR SURVEYOR) <br /> A Dane County Location Survey is not exempt from the minimum standards for property surveys, <br /> Chapter A-E 7 of Wisconsin Administrative Code. All of the items listed on this checklist must be <br /> included for Dane County Zoning Division acceptance. <br /> ✓ CONVENIENT SCALE (1"= 10' ,20' , 30' ,40' 50' 60' , 100' , 200') A-E 7.05 (1) <br /> ✓NORTH ARROW AND REFERENCE NOTE A-E 7.05 (2) <br /> BEARINGS AND DISTANCES OF BOUNDARIES OF PARCELS TO THE NEAREST 30 <br /> SECONDS AND 1/100`h FOOT A-E 7.05 (5) <br /> BOUNDARY MONUMENT SYMBOLS WITH LEGEND OR NOTE I■pICATING FOUND <br /> OR PLACED A-E 7.05(4) <br /> ✓ LEGAL DESCRIPTION(Description must commence fromza US�L"SS,cornei or existing <br /> platted lot corner) A-E 7.05 (5), A-E 7.04 - L �' <br /> ✓ "SURVEYED FOR"NOTE A-E 7.05 (5) <br /> DATE OF SURVEY A-E 7.05 (5) � \' <br /> ,!` •V <br /> ✓ SURVEYORS CERTIFICATE WITH STAMP OR SEAL AND SIC �1�1' 00.4ust certify <br /> "this survey is correct to the best of surveyor's knowledge and belief') A-E 7.05 (6) <br /> ✓ ALL NECESSAI ' SETBACKS AND DISTANCES FROM STRUCTURES REQUIRED BY <br /> CONDITIONS OF PERMIT. MAP MUST ALSO NOTE PERMIT NUMBER <br /> D C O 10.01(3 0 m), 10.2 5(3)(a)] <br /> THE SURVEYOR IS RESPONSIBLE FOR FILING THE SURVEY MAP IN THE COUNTY <br /> SURVEYORS OFFICE WITHIN 60 DAYS 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 <br /> #49 <br /> C•C" '19 .,4te <br /> i <br /> OG <br />