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BIRRENKOTI SURVEYING INC <br /> Land Surveying and Soil Testing DANIEL V. BIRRENKOrr <br /> y tig Registered Land Surveyor•Certified Soil Tester <br /> P.O.Box 237. 1677 N.Bristol Street•Sun Prairie,WI 53590•(608)837.7463•Fax(608)837.1081 •www.birrenkottsurveying.com <br /> Client Name: n U Z. I M m ER MAN Date: O$-t? -a ' <br /> Job Number: 070363 ZP Number: .. P L 0003 0`4'5 <br /> Legal Description: LoT I CER) F'ED SURv£Y MAP AO. 1990 , 7oWN OF SUNpRtillUE <br /> Site Address: paw E. GOV N-11( LUIS cnNS/N <br /> LOCATION SURVEY:CHCKLIST <br /> (PROVIDE A COPY TO YOUR SURVEYOR) <br /> A Dane County Location Survey is not 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 /> CONVENIENT SCALE (1"= 10' ,20' ,30' , 0' , 50' , 60' , 100' , 200') A-E 7.05 (1) <br /> I/ 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 1/100th FOOT A-E 7.05 (5) <br /> BOUNDARY MONUMENT SYMBOLS WITH LEGEND OR NOTE INDICATING FOUND <br /> OR PLACED A-E 7.05(4) <br /> LEGAL DESCRIPTION(Description must commence from U'� � w� qr existing <br /> ( P q, <br /> platted lot corner) A-E 7.05 (5), A-E 7.04 �1 � S/ <br /> Vzcc FOR" �{' ��-iNICL Vs. <br /> SURVEYED FOR NOTE A-E 7.05 (5) : c,;N:,NIE OTT' <br /> 5-1c?1 <br /> DATE OF SURVEY A-E 7.05 (5) - P r <br /> / SURVEYORS CERTIFICATE WITH STAMP OR SEAL=A� ••••S&,GNAT tlst certify <br /> "this survey is correct to the best of surveyor's knowledge ain4 else r, 05 (6) <br /> v'ALL NECESSARY SETBACKS AND DISTANCES FROM STRUCTURES REQUIRED BY <br /> CONDITIONS OF PERMIT. MAP MUST ALSO NOTE PERMIT NUMBER <br /> D C O 10.01(3 0 m), 10.25(3)(a)] <br /> THE SURVEYOR IS RESPONSIBLE FOR FILING 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:\Docs2\Location Survey Checklist.doc <br /> Q <br />