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r°514.. <br /> t` 'c� Dane County Department of Planning & Development <br /> " Application for Density Study Report <br /> S <br /> Date: / / -- <br /> Landowr} r informatio <br /> Name: v CCj e 06616 Ofd -_-4_ ,C/OC'd t3 LL ( t.tST <br /> Address: L-15-24 et U.c,mtog KADS k City:MACE.c,427U Zip Code: 636"15 <br /> Daytime phone: (s DP- a,7Q-(pa o I <br /> Fax: E-mail: b LCIC d dot ph reach.Ca rro <br /> c� <br /> Applicant information (if different from landowner): <br /> Name: <br /> Address: City: Zip Code: <br /> Daytime phone: <br /> Fax: E-mail: <br /> Relationship to landowner: <br /> Are you submitting this application as an authorized agent for the landowner? Yes 0 No <br /> Property information: <br /> Property address: LOA,/ LCl f/mDU�l�S 1 r�l�- ,/- JO'u- ! 6 <br /> Parcel ID#: 07010-102 1 -oo-q lo 701,-1 Oa-8c,fl ye?), 070(,-on-emu), <br /> 0706, -10A-9601-a 706-10,3-SoOO-y,j. o7d6-D91-gaao-o <br /> Legal description of properCy� ----- �"" <br /> 1/4 of 1/4, Section74ID, Town of (ktvrton7 <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): J)j t_L T4_c-(- <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 • <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 />