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)6PbgN-.10/3- <br /> Dane County Department of Planning & Development <br /> Application for Density Study Report <br /> VC' <br /> Date: /a//8//3 <br /> DEC 232013 <br /> Landowner information: <br /> Name: .5`1`12 4/r N L Cow A 2 <br /> Address: 1;4/06 W /4/1/ti/Rig. Pr.R�PCity: c.Sloss PL-d/NS Zip Code: 3-3S&& <br /> Daytime phone: (20.$- 7`jif- 414/3s <br /> Fax: E-mail: co(UQQv bo\At y cal cx, CO <br /> Applicant information (if different from landowner): <br /> Name: <br /> Address: City: Zip Code: <br /> Daytime phone: <br /> Fax: E-mail: COI/QQv- bowour@ ycttgoo i COwt <br /> Relationship to landowner: <br /> Are you submitting this application as an authorized agent for the landowner? Yes 0 No <br /> Property information: n <br /> Property address: �f '1�( GU . / ti i ,1 L O T, /2 G 12 055 PM/N$, �,vl". 5-3"P <br /> P <br /> Parcel ID#: <br /> (,U 5 8 it MU k Sly. .Rc$ '7 — SE 7q of ,t1E i4/ 50c, 1t AJW at= sec, ,9,,L <br /> Legal description of property: <br /> /WV 1/4 of hW 1/4, Section (25.-7-7 Town of C (Z 0 S3 PI_,4/pS <br /> OR <br /> Certified Survey Map ID: Lot <br /> Sketch map provided? Yes 0 No 0 <br /> Additional information (optional): <br /> Name of owner of original farm(if known): L E S Yl= R FARE-44 C'S T. <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) 5O'J 1/4/7 <br /> No <br /> Don't know <br /> Comments: <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 />