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•.. *) <br /> • 4. FORM NO.OR5.A i <br /> Stock No. 26273 <br /> i <br /> • i <br /> OWNER'S CERTIFICATE: <br /> As Owner's, We hereby certify that We caused the land described on this Certified 1 <br /> Survey Map to be surveyed, divided, and mapped as shown on this Certified Survey Map. <br /> We also certify that this Certified Survey Map is required by S.75.17(1)(a), Dane <br /> County Code of Ordinances to be submitted to the Dane County Zoning and Natural <br /> Resources Committee/ r' 'approval. <br /> Rapha� Betty Mn Ripp <br /> Personally came before me this)n,( day of -J3 "), A,- , 1991. The above named <br /> Owner's to me known to be the person who executed the foregoing instrument and <br /> acknowledged the same. _ <br /> / 1 <br /> STATE OF WISCONSIN) s.s. // , 1` <br /> COUNTY OF DANE ) _ / t,,,_ il� >,_. <br /> Notary Public <br /> My Commission Expires 1,47,4s— <br /> o <br /> (/ <br /> ' l ' Ar,1: t. ) <br /> lk <br /> qa.a aaa <br /> • <br /> • <br /> TOWN APPROVAL AND ACCEPTANCE „r; <br /> ;.y,•,irk, l'::,).:i <br /> "Resolved that this Certified Survey Map, which has been duly filed for approval;;;; ,:,', fs.:: r <br /> of the Town of Black Earth, Dane County, Wisconsin, be and the same is hereby ' ''11'. ',i ;R <br /> acknowledged and accepted by the Town of Black Earth.” I hereby certify that the above <br /> is a true and cor ect copy of a resolution adopted by the Town of Black Earth on this <br /> 3 day of ,,,h_¢-c..,, 1991. <br /> 46.4.4.6- ipa,.t.A.ti_k, <br /> Town Clerk <br /> DANE COUNTY ZONING AND NATURAL RESOURCES'COMMITTEE <br /> Approved for recording by the Dane County Zoning and Natural Resources Committee. <br /> eirM ry 2/, 992 ��� . . ' 951°V:Date Norbert Scri.ne <br /> Authorized Representative <br /> REGISTER OF DEED'S CERTIFICATE: <br /> Received for recording this aI day of FEB , 199F at ,2e2 J.M. and ' <br /> rec in Vol me , of Cert f eii d Survey Maps on Pages /0//7, /$ • <br /> Register of Deed's <br /> page 3 of 3 <br />