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Capital Newspapers Proof of Publication Affidavit <br />Ad #: 2224205 Price: $481.93 Ad ID: ZLR Pub Hrg on 8-26-14 <br />Retain this portion for your records. <br />Please do not remit payment until you receive your advertising invoice. <br />Mail to: <br />DANE CTY PLANING, DEV & ZONING <br />Diana Burns <br />210 MLK JR. BLVD, ROOM 116 <br />MADISON, WI 53703 <br />STATE OF WISCONSIN <br />Dane County <br />PWSJ <br />ss. <br />ARLENE STAFF <br />being duly sworn, doth depose and say that <br />he (she) is an authorized representative of <br />Capital Newspapers, publishers of <br />Wisconsin State Journal <br />a newspaper, at Madison, the seat of government of said State, <br />and that an advertisement of which the annexed is a true <br />copy, taken from said paper, was published therein on <br />August 12th, 2014 <br />August 19th, 2014 <br />:'ELLEN M. MORGAN <br />Notary Public <br />State of Wisconsin <br />n, (Signed)W 0 � JL <br />(Title) Principal Clerk <br />Subscribed and sworn to before me on <br />Notary Pubic, Dane County, WI <br />My Commission expires July 31st, 2017 <br />n <br />