Laserfiche WebLink
• <br /> vi t Dane County Department of Planning & Development <br /> Application for Density Study Report <br /> -405145 <br /> Date: I/w I `S <br /> Lando n r infor ation• <br /> Name: CkY q- j Y'u <br /> Address: 4Q8 hl r. Dr- \Qity:_(lero nC_ Zip Code:5 359 <br /> 9 <br /> Daytime phone: (DOS-tea -5 7/C) <br /> Fax: E-mail: ,!: -fey 53�O me.7 •Co r\ <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 © No <br /> Property information: <br /> dress: <br /> Parcel ID#: - Zq -3- coo - e <br /> Le al description of property: <br /> Nof 11✓1/4, Section 27 , Town of /1/o/Vj4.o Sr- <br /> OR 1Z <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 /> 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 />