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• <br /> ' <br /> o <br /> Dane County Department of Planning & Development <br /> Application for Density Study Report <br /> 7.834 <br /> Date: 8- 3 -15.- 3 -15 <br /> Landowner information: <br /> Name: G R S-i-Av, pre re r <br /> Address: City: g/,, r-o-r-J; Zip Code: 5'7 c( 7 <br /> Daytime phone: <br /> Fax: E-mail: <br /> Applicant information (if different from landowner): <br /> Name: TAS°h 14- v►'■ <br /> Address: /Oci 3L C�y /0 • City: /4,4. Zip Code: S'3 S/ <br /> Daytime phone: co 1 ( S 76 9137i( <br /> Fax: E-mail: ,to-y/ 7.Z ( ci ft / . ( ytk <br /> Relationship to landowner: 1.4 of' cf Lan1 i& ()Ole s nub ,Z..-' f"r-e <br /> Are you submitting this application as an authorized agent for the landowner? Yes ® No <br /> Property information: <br /> Property address: <br /> Parcel ID #: Q(OG 042 - goal 6tC 6 - - z - 1 SCx, -- <br /> 06 06 - 0 5 2 — rTvc,°Z <br /> Legal 1description of property: C C� 6o b- c9`t Z - t 3— 0 <br /> &)1N) 1/4 of IV 1/4, Section ( , Town of ( U 0 Z^'� 0 `� %1(YS <br /> OR Ntx) E S,) <br /> Certified Survey Map ID: Lot <br /> Sketch map provided? Yes No <br /> Additional information (optional): r <br /> Name of owner of original farm (if known): 5c e'T 1 Felt <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 ® © Reg. of Deeds Doc. No. (if known) <br /> No <br /> Don't know 0 <br /> Comments: I ell. L v:.,it .'4) +L guy L ti.,✓ L,.k . 1., 117 <br /> ACPI . e.le* 11(.) ,ft/.� S +h€ 4r-c <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 />