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Sir ture o,ounty Clerk <br /> By: <br /> cott McDonell, / ne County lerk <br /> STATE OF WISCONSIN,County of � �- <br /> 1 <br /> Subscribed and sworn to before me on I ^ / 7 by the above named person(s). <br /> Signature of notary of other person <br /> authorized to administer an oath A. Ai/ill/this/tit/Ad <br /> (as per s. 706.06, 706.07) <br /> Print or type name: ----CCL/v1 S Y t/`-"' <br /> Title C f Date commission expires: f� -/ fg cl <br /> Signature of Town Clerk <br /> By: <br /> John Wright, Town of Verona 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 /> This document was drafted by: <br /> (print or type name below) Subscribed and sworn to before me on by the above named person(s). <br /> Dane County Zoning Administrator 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 /> *Names of persons signing in any <br /> capacity must be typed or printed Title Date commission expires: <br /> below their signature. <br /> P&D form 2/20/2001 <br />