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r: ,, <br /> Dane County Department of Planning & Development <br /> ' Application for Density Study Report <br /> 1839, . <br /> Date: l-31-17 <br /> Landowner information: , /� <br /> Name: PALE (p. Vl L s ���IT� / I<�R- X4-`7 <br /> Address: (p'-11S Kop i v-O City: Wit a1 E� Zip Code: S3-S% - <br /> Daytime phone: (opt, - 2.1a- C11) -S DI <br /> Fax: E-mail: S„ Q <br /> Applicant information (if different from landowner): cam-• <br /> Name: 4 �L�.�/�MSo� �(Z.1Epl 6 �5xc/4-TEES <br /> Address: log 4 v3 rvjg4 City: �,+,,,�,�ACE— Zip Code: ,5 357 <br /> Daytime phone: b5f- 25-5-57o 5 c�1 <br /> Fax: (006 - $`{°l-176,0 E-mail: IJo,+ e_ t.4-1Arrc'5,4.4Su/t.ult... et/1 .- <br /> Relationship to landowner: <br /> Are you submitting this application as an authorized agent for the landowner? Yes Ca- <br /> Property informatiof <br /> Property address: 694- Vb rZp .Q , W A. IIN EE <br /> Parcel ID#: (7$b$- b I a' S t- 1 -� <br /> Z <br /> Legal description of property: C�, <br /> S� <br /> 1/4 of 1' J 1/4, Section 1 , Town of SF RI <br /> OR r 'n <br /> Certified Survey Map ID: N Lot <br /> Sketch map provided? Yes •.• <br /> •� <br /> Additional information (optional): <br /> Name of owner of original farm (if known): <br /> Are there any recorded agreements, liens, deed restrictions, easements or other legally binding <br /> documents that would affect the number or distribution of potential building sites on the property? <br /> Yes 0 Reg. of Deeds Doc. No. (if known) <br /> No <br /> Don't know <br /> Comments: ou`D 'f iviytti<E 4 ito v Scre fZ- CPJL of <br /> ¶14E(R L-tc pJ. <br /> Please allow 3-6 weeks to process your request. A copy of the report will be mailed to the landowner, <br /> the applicant(if different from the landowner) and the town clerk. <br />