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iJc p p - 2ot5 - 0000ct <br /> Dane County Department of Planning & Development <br /> j..; Application for Density Study Report <br /> x839; <br /> Date: <br /> Landowner information: <br /> Name: 4- <br /> Address: c3 a y 5 A►2&■_o_,- ) City: i r(1n s Zip Code: •?5 / <br /> Daytime phone: LQ O < 437 <br /> Fax: E-mail: ���r t �ec� - ds -e l e�i-v-'� 4 Cam <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 0 <br /> Property information: <br /> Property address: ?-) 1-1c-- l O—v'.& o u_r S <br /> Parcel ID#: (dc)-7 c-b (n - 33 y - °I -7 C>c> - t-P <br /> Legal description of property: ' °c. 33 - 7— 4, 2-T <br /> S r 1/4 of SF 1/4, Section , Town of Ue_ -- <br /> OR -7- le <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): e a-r- r� S <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 0 Reg. of Deeds Doc.No. (if known) <br /> No <br /> Don't know 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 />