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� r ..,0 bCQv5E.N-aos6 <br /> , ¢~`,..,:„„- Dane County Department of Planning & Development <br /> 4: 714 -; , ' Application for Density Study Report <br /> COS. <br /> Date: January 8, 2015 <br /> Landowner information: <br /> Name: Joan Zweifel c/o David Zweifel, as attorney in fact <br /> Address: 1361 Hwy PB City: Belleville, WI Zip Code: 53508 <br /> Daytime phone: <br /> Fax: E-mail: <br /> Applicant information (if different from landowner): <br /> Name: Attorney William L. Fahey/Boardman& Clark LLP <br /> Address: P.O. Box 927 City: Madison,WI Zip Code: 53701-0927 <br /> Daytime phone: (608) 286-7234 <br /> Fax: (608)283-1709 E-mail: wfahey @boardmanclark.com <br /> Relationship to landowner: Attorney and Agent <br /> Are you submitting this application as an authorized agent for the landowner? Yes '0 No! <br /> Property information: <br /> Property add ess: 1 '.J 4/ I parcel ID #: 040/0501=X72-.9000-8j 040/05t 2111-8590-8k and2340/05.0e272-85000/050 4-8682-4; <br /> 040/050 - 74-9042-6' �-..11 <br /> C tJ/f3rf4v S , <br /> Gc. <br /> Legal description of property: Enclosed 4"2e,- <br /> 1/4 of 1/4, Section , Town of <br /> OR <br /> Certified Survey Map ID: Lot <br /> Sketch map provided? Yes 0 No <br /> Additional information (optional): <br /> Name of owner of original farm (if known): Margaret Welch <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: Copies of tax parcel information sheets from Access Dane accompany this application. <br /> Legal description for the farm and copy of plat map marked to show parcels is also enclosed. <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 />