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TOWN OF MEDINA APPROVAL CERTIFICATE <br /> This Certified Survey Map is acknowledged, accepted, and approved for recording by the <br /> Town Board of the Town of Medina, Dane County. <br /> i .d.d- "( -- GaA/A <br /> Tammy Jo 4 :7" Date <br /> Town of 7 ina Jerk <br /> OWNERS CERTIFICATE <br /> We, Ronald P. & Dianne M. Heffron, as owners of the subject property, hereby certify that we <br /> caused the land described to be surveyed, divided and mapped as represented on the map. <br /> We also certify that this certified survey map is required by sec 75.17(1)(a), Danr County <br /> Code of Ordinances, to be submitted to the Dane County Zoning and land Regulations <br /> Committee. <br /> �-- , i / <br /> Ronald P. Heffron Date <br /> 7‘6C-,1 --/t.,;---7/)7,7-/k)Th'*--) 6 -.,,2/ --c„.1_ / <br /> Dianne M. Heffron Date <br /> STATE OF WISCONSIN) <br /> -;���A I ) SS <br /> ' „1.1L' COUNTY) <br /> Personally, came before me this 2t S day of Vi(..YL2, , 2021, the above <br /> Ronald P. & Dianne M. Heffron to me known to be the persons who executed the foregoing <br /> instrument and acknowledged the same. <br /> ke-ttAki <br /> 2 (LCIO—Idk) <br /> Notary Public c Cc., Wisconsin <br /> My commission expires: \a ' �� <br /> ` 4i:: <br /> z._ 2 " ' <br /> O- I.R y 'l <br /> us :, 2 ,`SSG O/.\/%9/i/' . <br /> P Ue\- '=y, = �' <br /> •O =,,7 DANIEL A. <br /> PAUL <br /> te OF <br /> ... • <br /> i".Ei11.tio,,,, = DEFORES = <br /> WI <br /> ',.,� S U R\I s' -��` `L9' <br /> SHEET 3 OF 3 <br />