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ik- <br /> Certified Survey Map <br /> Owner's Certificate <br /> As owner,I hereby certify that we have caused the land described on this certified survey <br /> to be surveyed,divided,and mapped as represented on this certified survey map. <br /> I also certify that this certified survey map is required by s75.I7(1)(a)Dane County Code <br /> of Ordinances to be submitted to the Dane County Zoning and Land Regulation Committee <br /> for approval. <br /> Stephen D.Champagn <br /> STATE OF WISCONSIN) <br /> COUNTY OF DANE )ss. <br /> Personally came before me this Z(6 day of MO ,2016,the above named owner to <br /> me known to be the person execute• the foregoing .•• ent and acknowledged the same. <br /> - w I.. . <br /> Notary Public,iane Coun Wisconsin -- -------- -- <br /> my commission expires ,2 /'. KERI QUINLAN <br /> Notary Public <br /> State of Wisconsin <br /> Consent of Mprtgage Holder <br /> Dubuque Bank and Trust, a banking association duly organized and existing under and by virtue of the laws of <br /> the State of Iowa, mortgagee of the above described land, does hereby consent to the surveying, dividing, and <br /> mapping of the land described on this Certified Survey Map, and does hereby consent to the above certificate of <br /> Stephen Champagne, owner. <br /> I - • _,... ' EREOF, the said Dubuque Bank and Trust has caused these presents to be signed by <br /> • 1r: .Y.W• 4 , its Authorized Officer, at Dubuque, Iowa on this IS-" day of <br /> _ <br /> -"gm ,2016. <br /> -� <br /> ■ <br /> !� W• yy trtt,, i"./p (name, title) <br /> STATE OF IOW <br /> COUNTY OF ..4, )ss. <br /> Personally came efore me this J day of Jr _ ,2016,the above named officer to me known to be the <br /> person who executed the foregoing instrument and acknowledged the same. <br /> ` .1 <br /> No ary Public, 10.,1142.. County, Iowa ""'a"41°"'"rr'0„ia <br /> my commission expires 2Jie/f 7 ��SCONs4 <br /> GINA BQXLEI1 ? Commission Number 751256 DAVID C. <br /> "Y « �ERC"es RIESOP a <br /> DEERFIELD <br /> WISCONSIN <br /> � URV�y I 0 <br /> 11t2O' <br /> Wisconsin Mapping, LLC Dwg. No. 4759-15 Date 4/25/2016 <br /> A >UNCying and mapping xrvicC9 Sheet 2 of 3 rev. 5/26/16 <br /> 306 West Quarry Street,Deerfield,Wisconsin 53531 Document No.S. <br /> (608)764-5602 C. S. M. No. I L7? V. - 7 P. /a-8 <br />