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<br />FORM NO. 9S5-A <br /> <br />~r <br /> <br />P..I..t ~~..I..t;.~.1"" <br /> <br />Stock No. 26273 <br /> <br />~02707 <br /> <br />CERTlFIED SURVEY MAP <br />ALL OF LOTS 10. 11 AND PART OF LOT 12. BLOCK 1. CLYDE A. GALLAGHER GARDEN SUBDIVISION, AS <br />RECORDED IN VOLUME 2 OF PLATS. ON PAGE 14A. AS DOCUMENT NUMBER 453781. DANE COUNTY <br />REGISTRY. LOCATED IN THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 04, <br />TOWNSHIP 07 NORTH, RANGE 10 EAST. TOWN OF BLOOMING GROVE. DANE COUNTY. WISCONSIN. <br />OWNER'S CERTIFICATE: <br /> <br />Jim Anderson, as owner, do hereby certify that I have caused the land described on this Certified Survey Mop to be <br />surveyed, divided, mopped and dedicated. as represented on this Certified Survey Mop. I further certify that this Certified <br />Survey Mop is required by s.75.17(1)(a), Done County Code of Ordinances, and s.236.34, Wisconsin State Statutes to be <br />submitted to the following for approval: <br /> <br />Done County Zoning and land Regulation Committee <br />Town of Blooming Grove <br /> <br /> <br />Jim Anderson has caused these presents to be signed at ~tr.,~ 1tIJ <br /> <br />day of (T~ ' 2005 <br /> <br />Wi <br /> <br />State of Wisconsin ) <br />)ss <br />County of Done ) <br /> <br />Personally come before me this ~ day of ~ \~ , 2005. Jim Anderson, to me <br />known to be the person who executed the foregoing initn:.: ~n~.c:::::t they <br />executed the foregoing instrument. ..I _ \ n _ \ ' ,I...[). . . loA It_. . . . I ( <br />/J !~ ,,,ot<>""{ nJ.J>t,c. · /A- . n'f ~m.6""" ~ '" t. all <br />6l:td. .1h ~ fb.+dclCA. J. GroJ,l)Jelfe-Y" <br />Nota~t;hc My Commission expires/is permanent: ..:J:I f'\c.. ,,-\ I ~ <br /> <br />CONSENT OF MORTGAGEE <br /> <br />The Park Bank, 0 banking association duly organized and existing under and by virtue of the State of Wisconsin, <br />mortgagee of the above described land, does hereby consent to the surveying, dividing, mopping, and dedication <br />of the land described on this Certified Survey Mop, and does hereby consent to the owner's certificate. <br /> <br />The Pork Bonk, has caused these pres~ts to be ~ned bY~' ". t\ <br />fV\<.W..\.l.a.' , Wisconsin, thi~day of ~\" <br /> <br /> <br /> <br />k/M <br /> <br />State of Wisconsin ) <br />)ss. <br />County of Done ) <br /> <br />Personally came before me thisLday of J\J\\!) , 200i. ~~ ~. ~bt.r,"", its G'r.!:~;clM\-_ <br />of the above named banking association, and acknowledged that they executed Hie foregoing instrument os suc <br />officers os the deed of said bonking association, by its authority. <br /> <br />Notary Public: <br /> <br />0s3tfL- <br /> <br />My commission expires/I\; fJcllllu"IAt. 7l::JoJci' <br />CITY OF ~ADISON WAIVER <br /> <br /> <br />The City of Madison will waive its elCtroterritorial review under the provisions of Section <br /> <br /> <br />~~::l~~~~ f>~~ - f=b'- <br /> <br />Mork Olinger, Secretory of Planning commis~n. <br /> <br />REGISTER OF DEEDS CERllFlCA TE tb <br /> <br />Re1fived for recording on this~dOY of Ju.~ <br />at ! fA. i o'c1ock.f,m. and recordei~n Volume <br />Certified Survey Mops, an Pages ~ . ~c:u. <br /> <br />, 200~ <br />t.q of <br /> <br />MAP NO. " J 'fl/-1 <br />DOCUMEN T NO. ,+07 h aJ 7 <br /> <br />VOLUME M PAGES ~11-Ol.q I <br />DATE: Jun. 16, 2005 <br />\PROJECTS\BSE639\BSE639.DWC <br /> <br />SHEET 3 OF 3 <br />