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Signature of ount lerk <br /> By: � <br /> ScottlVlcDonell, Dand-°ounty Clerk' <br /> STATE OF WISCONSIN, County of `/\-Q—, <br /> Subscribed and sworn to before me on .12.--1)-� /6 by the above named person(s). <br /> Signature of notary or other person <br /> authorized to administer an oath <br /> (as per s. 706.06, 706.07) <br /> Print or type name: 1 Cki S.1l,� <br /> Title N UNh Date commission expires: Ian '"18 (� <br /> Signature of Town Clerk <br /> By: <br /> Kim Banigan, Town of Cottage Grove Clerk <br /> STATE OF WISCONSIN, County of <br /> Subscribed and sworn to before me on by the above named person(s). <br /> Signature of notary or other person <br /> authorized to administer an oath <br /> (as per s. 706.06, 706.07) <br /> Print or type name: <br /> Title Date commission expires: <br /> Signature of Owner(s) <br /> Date Date <br /> Signature of Grantor(owner) Signature of Grantor(owner) <br /> *Name printed *Name printed <br /> STATE OF WISCONSIN, County of <br /> Subscribed and sworn to before me on by the above named person(s). <br /> Signature of notary or other person <br /> authorized to administer an oath <br /> (as per s. 706.06, 706.07) <br /> Print or type name: <br /> Title Date commission expires: <br /> This document was drafted by: <br /> (print or type name below) <br /> Dane County Zoning Administrator <br /> *Names of persons signing in any <br /> capacity must be typed or printed <br /> below their signature. <br /> P&D form 2/20/2001 <br />