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r, <br /> t..._ <br /> .,..„- ,,,, . p 0( L k S' <br /> ' - r ° ` °$7 °till: 4 <br /> i <br /> Dane County Department of Planning & Development <br /> • PIPIT? Application for Density Study Report <br /> '01/i 5 <br /> Date: J - , / /5 <br /> Landowner information: <br /> Name: C 'Loyd 1 7 `C t <br /> Address: C -p/4,--A) Ci y: Zip Code: <br /> Daytime phone: (;), S-- 2_33 W/ • r <br /> Fax: E-mail: I v •• T G� c . Cs <br /> yr <br /> Applicant information (if different from la downer): <br /> Name: \ A, • A _ , <br /> Address: i City: Jt ^'! Zip Code: _ 37-05 <br /> Daytime phone ,4110_ 7 ^ ' <br /> Fax: E-mail: , O..c e•.4 _zip c 41. Ale.).GV`^^ <br /> Relationship to landowner: G ) I <br /> Are you submitting this application as an authorized agent for the landowner? Yes V No <br /> Property information: _ <br /> Property address: yL)$.5. /Y/fN AD Pir1E-/fl b7J jbc , I 3 ff I7 <br /> Parcel ID #: Q71-06I t,ii'7-5j- <br /> Legal description of property: <br /> 5 1/4 of 5-E 1/4, Section `o , Town of C <br /> OR <br /> Certified Survey Map ID: Lot <br /> Sketch map provided? Yes No of efo,air FRAi41 <br /> Additional information (optional): Li <br /> // <br /> r,, <br /> Name of owner of original faun (if known): L" " I <br /> Are there any recorded agreements, liens, deed restrictions, easements or other legally binding <br /> documents that w- o}�ld affect the number or distribution of potential building sites on the property? <br /> Yes �/ Reg. of Deeds Doc. No. (if known) 27 36051 <br /> No (113532- <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 />