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• <br /> Dane <br /> County Department of Planning & Development <br /> Application for Density Study Report <br /> Date: <br /> Landowner information: <br /> Name: �n�l f4 g J W e g„1 v{()L.7 <br /> Address: 7`/7t Cr'-! 'K 1 ' City: r✓J„DOI-4(7),.1 Zip Code: S`3SGZ. <br /> Daytime phone: `���- ZZ�-1 <br /> Fax: E-mail: <br /> Applicant information (if different from landowner): <br /> Name: IJowt ?RIFJL` - \JIL_ .0 C. <br /> Address: 104 A. Wes i h/l vk e City: W rwW 1(4..C.— Zip Code: 53 5-9 <br /> Daytime phone: (oc2 - Z S— Si UT- <br /> Fax: ( -c4°I-`l7 co x> E-mail: LA.5u.i_tvi2J Tp 5 .&xT <br /> Relationship to landowner: P G <br /> Me you submitting this application as an authorized agent for the landowner? Yes No <br /> Property information: <br /> Property address: 74 7Z. Cii a R K <br /> Parcel ID : :-Z1Z_g5W-3 ' O,01-Z9/- "000- <br /> I <br /> Legal d s i ti f nperty: <br /> s 1�/ f a� 'i? -, Section Z1 ,Town of )j'2 "`S� F/�� <br /> OR <br /> Certified Survey Map ID: Lot <br /> Sketch map provided? Yes 7( No <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 Reg. of Deeds Doc. No. (if known) <br /> No <br /> Don't know X <br /> Comments: <br /> Please allow 3-6 weeks to process your request. A copy of the report will be mailed to the landcw.•ner, <br /> the applicant (if different from the landowner) and the town clerk. <br />