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zrr:-.4!) 1,,,' '?,%1SW2 r s,- ) 4 4' . ,, ''''''1, <br /> V �'{���� �1 t'_i r _ .. <br /> Dane County Department of Planning & Development n„ :y', <br /> ,:; . %- 0. Application for Density Study Report <br /> EC ( 1 2013 t <br /> 4? Casgfi <br /> Caii :r'',1.M`ril 'W .. - <br /> Date: 1 )' /6113 <br /> Landowner information: /� 1 <br /> Name: 1, 6 1 y 01 /'t r _,r it-AS L L- C.— <br /> Address: t G U L 9y, al , t�-- City: /1171- P{ /24-k 1p Code: 6 3 5--- _,.3 <br /> Daytime phone: C �, g Li f- 'i/5-G <br /> Fax: 6 0 g- g Li 5-- 9 6-g/ E-mail: J frr 6r) h_ t? iry e, /- e te, b-i e /1 c • (ar)7 <br /> Applicant in forma ion (if different from landowner): <br /> Name: G t' r`g " 'jZ <br /> Address: C " s 6/ ''a i n {' t. City VI r an y Zip Code: 53513 <br /> Daytime phone: 6.G �S— 3 ' /!576 <br /> Fax: C (14S, cS`1 S- '? 1 - E-mail: (fir t,f M 2—e_ jTV4a tz .. / fr._4 /At , ea.w <br /> Relationship to landowner: 5&4 - 1/) _ i- 4 <br /> Are you submitting this application as an authorized agent for the landowner? 41.--$. ) No <br /> Property information: / <br /> Property address: (. L. —ee i-'5 (/ <br /> Parcel ID#: C- ,)4 y c�c� — Saco a 7t'/4 c <br /> Legal description ooperty: i <br /> 1/4 of 1/4, Section , Town of 3 1 y-e /ffU4 n ) <br /> OR <br /> Certified Survey Map ID: Lot <br /> Sketch map provided. ��I No 0 <br /> Additional information (optional): <br /> Name of owner of original farm (if known): <br /> Are there any recorded agreements, liens, deed restrictions, easements or dher legally binding <br /> documents that would affect the number or distribution of potential building sites on the property? <br /> Yes Ili . Reg. of Deeds Doc.No. (if known) <br /> o t. <br /> Don t ow 0 <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 />