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• Dane County Department of Planning & Development Aif Application for Density Study Report • 10/15/15 Date: Landowner information: Name: Richard Sonnenberg - Owner ( Donald Sands - Representative- Realtor Address: 4621 Old Indian Trail City:Marl( Forth WI Zip Code: 53515 Daytime phone: Donald Sands - (608)-767-2868 Fax: E-mail: donaldsc mhtc.net Applicant information (if different from landowner): Name: Greg and Kim Hartig Address: 3951 Garfoot Road City:Cross Plains Zip Code:53528 Daytime phone: 608-332-4225 Fax: E-mail: hartiqasurgery.wisc.edu Relationship to landowner: See comment below Are you submitting this application as an authorized agent for the landowner? Yes 0 No 0' Property information: Property address: 4621 Old Indian jrail, Black Earth Wi 53515 - Parcel ID#: o1OCo41.1 govo oio4Uytario4 , olC'& oLI 39 S coi��_ Legal description of property: Vermont ( SE / SW 1/4 of 4) 1/4 of 1/4,Section 4 ,Town of OR Certified Survey Map ID: Lot Sketch map provided? Yes 0 No 0 Additional information (optional): R Sonnenberg has been owner since 1964 Name of owner of original farm (if known): Are there any recorded agreements,liens,deed restrictions,easements or other legally binding documents that would affect the number or distribution of potential building sites on the property? Yes • Reg.of Deeds Doc.No. (if known) No 0 Don't know • Comments: G and K Hartig have a purchase agreement with the Sonnenberg's to aquire the 81 acre parcel located in SE and SW quarter sections of section 4 of Vermont 1 owhship As the Sonnenberg's representative Donald Sands has provided permission to pursue this density study. 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.