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• f <br /> APPLICATION OF OFFICIALLY MAPPED AREAS TO <br /> APPLICANT'S LANDS <br /> The undersigned applicant for a zoning permit under Chapter 10 of the <br /> Dane County Ordinances thus certifies as follows: <br /> 1) . <br /> That he or she has made diligent inquiry of the applicability of any official <br /> map to the applicant's land. <br /> 2) . That no such official map is applicable or, if such map is applicable, the <br /> approval of the appropriate city or village has been obtained and is <br /> attached hereto. <br /> 3). That the applicant understands the possible adverse consequences of erecting <br /> any structure within an officially mapped area without the proper approval <br /> of the city or village involved. <br /> 4) . That the applicant has not relied upon any statements of County employees <br /> in giving these assurances. <br /> Dated this 4-- day of �'C(56•as? 19 -ivy at Madison, Wisconsin. <br /> +l <br /> I' <br /> er-J. 0,1 : -..a:i _....____.: _______ <br /> r <br /> / <br /> Witness: <br /> • <br /> • <br /> Permit g �// '2 --/ 7 / V ' <br /> Zoning <br /> $545-47(3/79) <br />