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b <br /> y� �r •. <br /> �' Dane County Department of Planning & Development <br /> Application for Density Study Report <br /> • 441W <br /> 4O <br /> Date: ...5--/s--/9 <br /> Landowner information: <br /> Name: /11 D 7TiGf�jy^/ <br /> Address: .93.5 /tm,-7 xxtA/7,c/L•12. City: ,,t720495,- Zip Code: $3519,3 <br /> Daytime phone: 833 —30? <br /> Fax: ff3G "FOP/ E-mail: j iKe..E 77-$61- al e /G.Ceal <br /> Applicant information (if different from landowner): <br /> Name: ,(1N 414901s ,467/7‘,6-- gr. /9-,fJ <br /> Address: 7. ep a/ TZ lr y City: /./40/x(/ Zip Code: J3 7/7 <br /> Daytime phone: -7.530 <br /> Fax: f33 / 'f7 E-mail: /Qlr'1 f� E)4O.0, /2/O, cc- <br /> Relationship to landowner: C, i `/Gi. <br /> Are you submitting this application as an authorized agent for the landowner? Yes 0 No al <br /> Property information: �� <br /> Property address: <br /> Parcel ID#: .•J - T'C iy� 4 T) <br /> Legal description of property: <br /> 1/4 of 1/4, Section /.5 Town of G/2OJS #49441.V3 <br /> OR <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): 4L)XJ %/25.: (./ <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: 7T7 /4 ' 7 .J <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 />