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DIRECTIONS FOR FILLING OUT NOTICE <br /> NOTE: This Notice document is being provided for your convenience and <br /> may be recorded to comply with the requirements of your recently <br /> approved zoning petition. Property descriptions have been derived from <br /> readily available sources such as tax records,surveys,deeds,and other <br /> WH recorded documents. Please review the property description to ensure THIS AREA IS FOR <br /> accuracy and completeness. REGISTER OF DEEDS <br /> RECORDING ONLY <br /> parcels of real i FILL IN YOUR NAME, <br /> residential deg STEP I) : ADDRESS; & PARCEL <br /> zoning regulat : ' DO NOT WRITE IN THIS <br /> (Use reverse side if more space is needed/ NUMBERS). z <br /> SPA CE <br /> A PROPERTY DESCRIPTION TO WHICH THE <br /> NOTICE APPLY APPEARS HERE. YOU MAY B Recording area <br /> REQUIRED TO INSERT CERTIFIED SURVEY Name and return address: <br /> MAP (CSM) RECORDING INFORMATION (CSM <br /> #). <br /> IF CSM INFORMATION IS REQUIRED, PLEASE <br /> COORDINATE WITH YOUR SURVEYOR AND <br /> THE DANE COUNTY LAND DIVISION REVIEW ENTER PARCEL NUMBER(S) <br /> OFFICER AND FILL IN THE INFORMATION „,k HEY.._ <br /> ACCORDINGLY. PARCEL IDENTIFICATION NUMBER(S) <br /> This Notice provides information regarding the status of the described property for residential development <br /> under Town/County policies in effect as of the filing date of this document. Please be advised that future <br /> development on the described property may be subject to provisions of the Town Land Use or Comprehensive <br /> Plan, the Dane County Farmland Preservation Plan and/or the Dane County Code of Ordinances. <br /> STEP 2) HAVE TIE COUNTY ZONING ADMINISTRATOR <br /> SIGN THE NOTICE, THE SIGNATURE MUSTIBE <br /> Cancellation of this Notice may be NOTARIZED. <br /> accomplished by filing a Cancellation <br /> of Notice form with the Dane County <br /> Register of Deeds Office. The <br /> Cancellation of Notice form is <br /> available from the Planning& <br /> Development office and requires the Signature of County/Town official Date <br /> following: <br /> 5) Signature of the County/Town <br /> official listed on the original <br /> Notice,or an equivalent office- Name printed Title <br /> holder. <br /> 6) Reference document number of <br /> original Notice. <br /> 7) Legal description of property. STEP 3) YOUR Explanation of reason for PRINT YOR NAME IN THIS SPACE <br /> cancellation. <br /> ST WISCONSIN, County of <br /> This document was drafted by: scribed and sworn to before me on by the above named person(s). <br /> (print or type name below) <br /> John Q.Landowner Signature of notary or other person <br /> authorized to administer an oath <br /> *Names of persons signing in any (as per s. 706.06, 706.07) <br /> capacity must be typed or printed Print or type name: <br /> below their signature. <br /> P&D form 2/20/2001 Title Date commission expires: • <br />