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Dane County Department of Planning 8... Development 94.1; P .' Application.. for Density Study Report ��--�-��--sir -{5CO S Date: 9)- L/ r 7 Landowner information: Name: Po Ia1 ,,o- kct,. - 5 ON.att1 Address: 1 cE3 1,4 c . kt,v,,i p.. City: 1/ - o Zip Code: 5 3 S—q 3 Daytime phone: 08 — 3( ? — 73(o 0 Fax: E-mail: k au.5 vv. P 0. cti Vnoi e .CD w�, Applicant information (if different from l ndowner): - ' 6 Name: S Lo-4- tYi.tA_ yvva. Vt IA a uA VO S S ^ R l-t-o r &Og- g a.0-'7 S'1'7 Address: 7Q314 CO. Rt.01.1 A . ity: v�r IAGL Zip Code: 53s-g3 Daytime phone: 60R - 34<1 - S-76,U r v ass s k tg.n w1e-5 . . Fax: E-mail: Relationship to landowner: Rem t-6,- r 7CZ N, A':1-4 'pr j02. glad,-sot. .5-3'7)4' Are you submitting this application as an authorized agent for the landowner? Yes t/ No Property information: // Property address: `J 8 (4./. iff de, , hew y 4, t/0� h -- Parcel ID 05'08 /aZ- Z. 00? c96-08`/82 a9('c'5 0 '08 /82 g£;Qo/ Legal description of property: 1/4 of N I+tf 1/4, Section /8 , Town of /Y)fj(,t-1,/as'e, OR rid Survey Map ID: Lot Sketch map provided? Yes No Additional information (optional): Name of owner of original farm (if known): Are there any recorded agreements, liens, deed restrictions, easements or other legally binding documents that would affect the number or distribution of potential building sites on the property? Yes Reg. of Deeds Doc. No. (if known) No 1-------- Don't know Comments: 44Q 4 1 S CA.ke Pete 4f- 5c,,,k_e — lwi.12.4– rf 0S � S V21`i ,�rL+L-�aD� • Ls _ � O, 0k Please allow 3-6 weeks to process your request. A copy of the report will be mailed to the landowner, the applicant (if different from the landowner) and the town clerk.