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pGPDEN-2015_0 o 3 0 <br /> 0 f, , =µ_ Dane County Department of Planning & Development <br /> '" L.'" ,A Application for Density Study Report <br /> c <br /> September <br /> Date:3,44,f I <br /> Landowner information: <br /> Name: Estate of Grant Slotten do Lynn Slotten. Co-Personal Representative <br /> Address: 501 14th Ave. Lot 54 City:Nawni r;iari IC inn Zip Code: 53574 <br /> Daytime phone: (608) 576-0513 <br /> Fax: E-mail: <br /> Applicant information (if different from landowner): <br /> Name: Hill, Glowacki, Jaeger & Hughes, LLP, by Attorney Anna L. Loess <br /> Address: 2010 Eastwood Dr. Suite 201 City:Madison. WI Zip Code:53704 <br /> Daytime phone: (608) 244-1354 <br /> Fax: (608) 244-4018 -mail: anna(a�hill-law-firm.com <br /> Relationship to landowner: L r► 5" <br /> Are you submitting this application as authorized agent for the landowner? Yes 0 No 0 <br /> Property information: <br /> Property address: g 350 fi. :4/. a 64 / ) . . _ <br /> Parcel ID #: OS O1— 1- 10 30— J 0 a 3- -,..12.1.1- t5,06- - ' 0 67- -a-7U- F(D 00--O J <br /> Legal description of property: --5.`-°-- a►biccli-ke/j, 441-C-___-+ <br /> 1/4 of 1/4, Section , Town of <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): <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: <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 />