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NOV-05-2008(WED) 13: 25 BIRRENKOTT SURVEYING (FAX)608 837 1081 P. 004/005 <br /> BIRRENKO11SI/RVEYING, lNC <br /> DANIEL V. BIRRENKOTT <br /> . Land Surveying and Soil Testing Registered Land Surveyor•Certified Soil Tester <br /> P.O.Box 237.1677 N.Bristol Street•Sun Prairie,W153590•(608)837.7463-Fax(608)837.1081•www.birrenkottsurveying.com <br /> f <br /> Client Name: ?-/A --L A lsDez_s' Date: /'3- 06 <br /> Job Number: e7�0 1j/ ZP Number: _ 9Q¢3—07/5 <br /> Legal Description: 21 AIO T A/'M 1 w' Ls-7w_ <br /> Site Address: rro 8 j�4 13 L 1 s i t v �u x i7� kt i <br /> LOCATION:SURVEY CHECI .,IST <br /> (PROVIDE A COPY TO YOUR SURVEYOR) <br /> A Dane County Location Survey is aot exempt from the minimum standards for property surveys, <br /> Chapter A-E 7 of Wisconsin Administrative Code. All of the items listed on this checklist must be <br /> included for Dane County Zoning Division acceptance. <br /> 1 de CONVENIENT SCALE (1"= I0',20',30' 40' ,50' ,60', 100' ,200') A-E 7.05(1) <br /> NORTH ARROW AND REFERENCE NOTE A-E 7.05(2) <br /> BEARINGS AND DISTANCES OF BOUNDARIES OF PARCELS TO THE NEAREST 30 <br /> SECONDS AND 11100th FOOT A-E 7.05 (5) <br /> BOUNDARY MONUMENT SYMBOLS WITH LEGEND 913,k{QTE INDICATING FOUND <br /> OR PLACED A-E 7.05(4) % <br /> Ilk5C 4 N J"�► ", <br /> LEGAL DESCRIPTION (Description must commence 9611.a USPL'"SSS corder or existing <br /> platted lot corner) A-E 7.05(5);A-E 7.04 _ f 1-1"r111-1-V <br /> n;;ENI JTT <br /> * i S., 31 * <br /> "SURVEYED FOR"NOTE A-E 7.05(5) <br /> ���n r'r3ffn4 _- <br /> DATE OF SURVEY A-E 7.05(5) % f� W I <br /> 4, <br /> SURVEYORS CERTTFTCATE WITH STAMP OR SEA'fJSA ,tCrNATURE(Must certify <br /> "this survey is correct to the best of surveyor's knowledge and belief') A-E 7.05(6) <br /> ALL NECESSARY SETBACKS AND DISTANCES FROM STRUCTURES REQUIRED BY <br /> CONDITIONS OF PERMIT. MAP MUST ALSO NOTE PERMIT NUMBER <br /> DCO 10.01(30m), 10.25(3)(a)1 <br /> THE SURVEYOR IS RESPONSIBLE FOR FTLTNG THE SURVEY MAP IN THE COUNTY <br /> SURVEYORS OFFICE WITHIN 60 DAYS OF COMPLETION. A-E 7 05(7),ss59.45(1)b <br /> Surveyor and client may agree, in a signed statement,to exclude monumentation requirement. To do so, <br /> survey map must include a note, which states that an agreement to exclude work from the requirements of <br /> A-E 7 has been made and the names of the parties making the agreement. <br /> All other items are required either by Administrative Code or Dane County Ordinance. <br /> K:1Docs2\Location Survey Checklist.doc <br />