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0, Dane County Department of Planning & DwI IVED ' Application for Density Study Report ac JUL 282015 DANE COUNTY PLANNING&DEVELOPMENT Date: Landowner information: Name: G fZ G C. R A S .E Address: 3 C23 Z E p pcf21-y ET City:elotie6 I Al C, Zip Code: 2_742 16 Daytime phone: Fax: E-mail: • Applicant jnformation (if different from landowner): Name: ` O ( G 2.A Sg Address: t"5-1 <516.H N E WI( £ City: W i a m p kA., 4/Zip Code: 36 DQ Daytime phone: 3 3 - -ZQ OR L07-S- 3 3 L-2 Z 2 S" Fax: E-mail: \7"F6 ,2 A-ESL a -A/217"4?/,N�. N g7- Relationship to landowner: ON Are you submitting this application as an authorized agent for the landowner? Yes No Property information: Property address: Parcel ID#: 05-0/0107 -- J S4'- 8000 -I Legal description of property: 1/4 of 1/4, Section 18 , Town of 2D1c bu2i! OR Certified Survey Map ID: Lot GRASSE FAMILY PROPERTY REV TR Sketch map provided? Yes No BILL NUMBER: 500807 IMPORTANT: •Correspondence should refer to parcel number. -See reverse side for important information. Additional information (optional): •Be sure this description covers your property.This description is for property lax bill only and may not be a full legal description. Name of owner of original farm(if known): 3000005 D 8 2 4/3 3 ACRES: 39.210 SEC 18, T 09 N, R 07 E, NE'/, of SE'/, PLAT: MB—METES AND BOUNDS Are there any recorded agreements, liens, deeds SEC 18-9-7 ALL TH PRT E1/2 SE1/4 SEC 18 documents that would affect the number or distri LYG ELY OF CL USH 12 &G1 3 EXC BEG SE COR SEC 18 HO NODEGO2'E E LN SEC 18 Yes Reg. of Del 838.0 FT TH W 810.8 FT TO NE LN USH No Parcel#: 0907-184-8000-1 . . Don't know Alt Parcel#: Comments: Cj ie '� t p 2p& -i i 6 Fe4r Ly P� Ed (rev-0j4,�b1€ Tref,128T_ \I-6E I 6 2A f , e2 6F- P11-D QN X Fe 'Tau�I 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.