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r ,� <br /> (p e <br /> Dane County Department of Planning & Development <br /> Application for Density Study Report <br /> ,141. <br /> ue <br /> Date: <br /> Landowner infgrmal<ion: <br /> Name: �/. c j�- .-"P 2- <br /> Address � 9 C,./s„., S-J . City: Zip Code:.S— ,(� <br /> Daytime phone: G rf 2 A J e7.2-//Y <br /> Fax: ---- E-mail: <br /> Applicant information (if different from landowner): <br /> Name: ��c 74.-e,S � / / <br /> Address: �. City: Zip Code:6'764/ <br /> Daytime phone: , /4; - .o <br /> Fax: ; o. - 2• , - ` . E-mail: I! . s' e., _ ." /d✓i, <br /> Relationship to landowner: c,, <br /> Are you submitting this applica 'on as an authorized agent for the landowner? Yes No <br /> Property information: <br /> Property address: 3.cF. <br /> Parcel ID#: L 2 -02/2 - 9pGb • O pat /,Z -,s/e) - <br /> Legal description of property: �1- <br /> f <Sw 1/4 of^/GtJ 1/4, Section a/ , Town of ,�a Z-1 <br /> . V ' Pyo ‘ A 1y SQL /- Ail s, . <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): <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 <br /> Comment : S / /�� <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 />