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_ :F Dane County Department of Planning & Development <br /> .a' 1.'i Application for Density Study Report RECEIVED <br /> iea9;6%' <br /> JUN 1 2015 <br /> Date: AA1 a(9 X015 DANE COUNT`!PLANNING&DEVEIAPMEW <br /> Landowner information: <br /> Name: o f Ei.1t <br /> Address: 'AL-I'. NI E<J I t RD City:E124Esrot,1 Zip Code: 536-31 <br /> Daytime phone: I— 1,47—X7.5 (,(/q <br /> Fax: E-mail: $o vJEar.1r7 0v4.4-1. <br /> Applicant information (if different from landowner): <br /> Name: \NI,L`t ,4 w/t_S e„J So RJ El r nN Cz <br /> Address: (04 A.1,3c.g-r- ST, City: 14At,.), tt Zip Code: 6-35t,7 <br /> Daytime phone: (Q ace- '0155-57O5 <br /> Fax: (9 C J r 6- -( -- 7& o E-mail: t•1a4 (.0 ,,,.rSon) r.)C, <br /> Relationship to landowner: <br /> Are you submitting this application as an authorized agent for the landowner? Yes 0 No 0 <br /> Property information: <br /> Property address: SPA ve <br /> Parcel ID#: 0511 -35a- /oit I -35-a—$Oa <br /> Legal description of property: <br /> 1/4 of t■ %.) 1/4, Section 3 S, Town of �i 1 r•� 1<<RA< <br /> OR <br /> Certified Survey Map ID: Lot <br /> Sketch map provided? Yes ® 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 <br /> Reg. of Deeds Doc. No. (if known) <br /> No <br /> Don't know 0 <br /> Comments: t- F H>r C r✓1 R►<L fl- NIL r~) 1ZES r Ent r4-L <br /> La1 ISEStat:S D.'L r;osri SJ i_ip1NC7 • CE. F{,IS 3 rota cc-t_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 />