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CERTIFICATION OF OFFICIALLY MAPPED AREAS TO APPLICANT'S LANDS <br /> The undersigned applicant for a zoning permit under Chapter 10 of the Dane <br /> County Ordinances thus certifies as follows: <br /> 1. That he or she has made diligent inquiry into the applicability of any <br /> official map to the applicant's land. <br /> 2. That no such official map is applicable or, if such map is applicable, the <br /> approval of the appropriate city or village has been obtained. <br /> 3. That the applicant has not relied upon any statements of County employees <br /> in giving these assurances. <br /> 4. That the applicant understands the possible adverse consequences of <br /> erecting any structure within an officially mapped area without the proper <br /> approval of the city or village involved. Any zoning permit issued for a <br /> property located within an officially mapped area for which the applicant <br /> has not obtained the proper permit from the appropriate village of city <br /> shall be null and void. (Ref. §10.25 (6)(b) and (d) Dane County Zoning <br /> Ordinance) <br /> Dated this day of , 19 , at Madison, Wisconsin. <br /> r` <br /> Witness: <br /> Zoning Permit # <br /> 545 — 3 (12/90) CERT MAPPED AREAS APPLI'S LARD <br />