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DCPREZ-2016-10990
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DCPREZ-2016-10990
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Entry Properties
Last modified
11/2/2016 8:24:47 AM
Creation date
11/2/2016 8:24:43 AM
Metadata
Fields
Template:
Rezone/CUP
Rezone/CUP - Type
Rezone
Petition Number
10990
Town
Bristol Township
Section Numbers
19, 20
AccelaLink
DCPREZ-2016-10990
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OWNERS CERTIFICATE <br /> We, Blake W.&Geri A. Hart and Scott A.&Julie M.Wagner,as owners, hereby certify that we <br /> caused the land described to be surveyed,divided and mapped as represented on the map. We also <br /> certify that this certified survey map is required by S.75.17(1)(a), Dane County Code of Ordinances to <br /> be submitted to the Dane County Zoning and Land Regulation Committee for approval. <br /> Blake W. Hart Date <br /> Geri A. Hart Date <br /> Scott A.Wagner Date <br /> Julie M.Wagner Date <br /> STATE OF WISCONSIN) <br /> COUNTY) )SS <br /> Personally came before me this day of ,2016,the above Blake W.& <br /> Geri A. Hart to me known to be the persons who executed the foregoing instrument and <br /> acknowledged the same. <br /> Notary Public ,Wisconsin <br /> My commission expires: <br /> STATE OF WISCONSIN) <br /> COUNTY) )SS <br /> Personally came before me this day of ,2016,the above Scott A.& <br /> Julie M.Wagner to me known to be the persons who executed the foregoing instrument and <br /> acknowledged the same. <br /> Notary Public ,Wisconsin <br /> My commission expires: <br /> •086I� , <br /> DANIEL A. •.. <br /> ▪ PAULSO _ \ ,• <br /> ▪ S 9 <br /> DE 'REST <br /> % WI \/1 <br /> S U RyOO <br /> SHEET 3 OF 4 <br />
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