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� <br /> ZO15000 / <br /> •s Dane County Department of Planning & Development <br /> or <br /> Application for Density Study Report <br /> 4,06 RECEIVED <br /> OCT 1 2015 <br /> Date: q - s- S <br /> DANE COUNTY PLANNING&DEVELOPMENT <br /> Landowner information: <br /> Name: be_bc-c, _CY\. + d S. I o e.- <br /> Address: 5 ■3\ 0.d City: -e_30, Zip Code: 53515 <br /> Daytime phone: Log] "t t a 83 a b <br /> Fax: E-mail: 8eUby@ Cc,m <br /> Applicant information (if different from landowner): <br /> Name: <br /> Address: City: Zip Code: <br /> Daytime phone: <br /> Fax: E-mail: <br /> Relationship to landowner: <br /> Are you submitting this application as an authorized agent for the landowner? Yes 0 No ® <br /> Property information: <br /> Property address: 54 3 i L;nco(n 0.--9 WAS 53.5 9 C <br /> Parcel ID#: �5T��i . 15 `Sco 3,.-O <br /> Legal description of property: <br /> 1/4 of 1/4, Section , Town of OREQ,o'.l <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): ceder. 4 F*' \ -6•2^�r• <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 />