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ictCERTIFIED SURVEY MAP <br /> WILLIAMSON SURVEYING AND ASSOCIATES, LLC <br /> ACIA T. PRIEVE & CHRIS V. ADAMS, PROFESSIONAL LAND SURVEYORS <br /> 104 A WEST MAIN STREET, VAUNAKEE, WISCONSIN, 53597 PHONE' 608-255-5705 <br /> Located in part of the Southwest 1/4 of the Southwest 1/4 of Section <br /> 19, T6N, R10E, Town of Dunn, Dane County, Wisconsin. <br /> OWNERS' CFRTIPICATL <br /> As owner, I hereby certify that I caused the land described on this certified survey <br /> map to be surveyed, divided and mapped as represented on the certified survey map. <br /> I also certify that this certified survey map is required by sec. 75.17(1)(a), Dane <br /> County Code of Ordinances, to be submitted to the Dane County Zoning and Land <br /> Regulation Committee for approval. <br /> WITNESS the hand seal of said owners this day of ,20___. <br /> Barry C. and Linda J. Fox Revocable Living Trust <br /> STATE OF WISCONSIN) TRUSTEE <br /> DANE COUNTY) <br /> Personally came before me this day of , 20___ the above named <br /> to me known to be the person who executed the <br /> foregoing Instrument and acknowledge the same. <br /> County, Wisconsin. Notary Public <br /> My commission expires <br /> Print Name <br /> fV aRs Cianzi to <br /> As owner, I hereby certify that I caused the land described on this certified survey <br /> map to be surveyed, divided and mapped as represented on the certified survey map. <br /> I also certify that this certified survey map is required by sec. 75.17(1)(a), Dane <br /> County Code of Ordinances, to be submitted to the Dane County Zoning and Land <br /> Regulation Committee for approval. <br /> WITNESS the hand seal of said owners this day of ,20___. <br /> Eleanor M. Killerlain Revocable Living Trust <br /> STATE OF WISCONSIN) TRUSTEE - JEAN HANSON <br /> DANE COUNTY) <br /> Personally came before me this day of , 20___ the above named <br /> Jean Hanson to me known to be <br /> the person who executed the foregoing <br /> instrument and acknowledge the same. SURVEYORS SEAL <br /> County, Wisconsin. <br /> My commission expires 0 <br /> °i ..C# <br /> Notary Public ` 04 <br /> Print Name <br /> Sheet 4 of 5 I 16W-313 <br />