CANCELLATION OF NOTICE
Use black ink
WHEREAS, the (Town of ) _________________________
in Dane County, Wisconsin, hereby cancels the notice that the
following parcels of real property contain no further land divisions for
non-farm residential development according to current Town land use
plan and zoning regulations. The land is described as follows:
(Use reverse side if more space is needed for the complete property description.)
Recording area
Name and return address:
The original notice was recorded on ________________________
(date) as document number _______________________ in the
office of the Dane County Register of Deeds.
PARCEL IDENTIFICATION NUMBER(S)
This Cancellation of Notice provides information regarding the status of the described property for land
divisions for non-farm residential development under Town/County policies in effect as of the filing date of this
document, and does not affect other restrictions on the use of the property. This Cancellation of Notice is
being recorded because of the following reasons (check one):
The Town land use plan pertaining to land divisions for residential development has changed.
!
The County zoning regulations pertaining to land divisions for residential development have changed.
!
Other (explain):
!
__________________________________________ ____________________
Signature of County/Town official
Date
__________________________________________ ____________________
Name printed
Title
This document was drafted by:
(print or type name below)
STATE OF WISCONSIN, County of _____________________________________
Subscribed and sworn to before me on______________________by the above named person(s).
Signature of notary or other person
authorized to administer an oath____________________________________________________
(as per s. 706.06, 706.07)
*Names of persons signing in any
capacity must be typed or printed
Print or type name: ______________________________________________________________
below their signature.
P&D form 6/2/2003
Title____________________________Date commission expires: _________________________.