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%silt.AS <br /> - i . Dane County Department of Planning & Development <br /> li) i . <br /> Application for Density Study Report <br /> < f <br /> sco�s RECEIVED <br /> Date: <br /> 7_�sMAY 4 2015 <br /> Landowner information: 1 ' pNECOUNS'1cola,*& toPt t�C'f <br /> Name: R yei o)'( xitiU 12 FP rr;/1y rVS <br /> Address: City: Zip Code: <br /> Daytime phone: <br /> Fax: E-mail: <br /> Applicant information (if different from landowner): <br /> Name: X42.;•,: StrAMbt AR <br /> Address: 110140 ST>eAHBuA Ilk Rai City: aLL Movr.C/S Zip Code: 53s)7 <br /> Daytime phone: 's)- 1461 0,- (An P1o4k. 5)5 05g <br /> Fax: E-mail: <br /> Relationship to landowner: fir, <br /> Are you submitting this application as an authorized agent for the landowner? Yes (9 No <br /> Property information: BLOC MOON'S <br /> Property address: N;li wAy ) D BLOC <br /> Parcel ID#: <br /> Legal description of property: 13L,or, PI dun 4 1/4 of 1/4, Section , Town of <br /> OR <br /> Certified Survey Map ID: Lot <br /> Sketch map provided? Yes 0 No 0 <br /> Additional information (optional): r <br /> owner of original farm (if known): Rya o 1'r l' Er;07 Sir fi UAP1Z <br /> Name of o <br /> Are there any recorded agreements, liens, deed restrictions, easements or ether 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 0 <br /> Don't know / • <br /> Comments: S71 t'90 bA 4 ii4ti,: Jy �r1�.S/)- <br /> Wm,TS io knov, i 1 <br /> 4'A-er. r.orf, i-hee,. one. 13v:1d:., s;j- <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 />