Laserfiche WebLink
r <br /> .�---a---= <br /> `,"c: "t, <br /> Gan County Department of Pianninc, 8:. Development <br /> ,, , ' Application for Density Study Report <br /> cviil id -.J - 5-/C <br /> fag" 7 <br /> Date: ,o2 -/c5 <br /> Landowner information: <br /> Name: 1). ii • -e-- L.r b eS'i-472.- e,cc e.4 a--c.,r✓c., S'14-1'Te,r' <br /> Address: /57`/ 6€-6'i---Te '' I -d City: may, T- f}a/eb Zip Code: 5357 Z. <br /> Daytime phone: t,,o55-(13 7- Y? 1 "? <br /> Fax: E-mail: c.rb co n,h-,tG • w-Q77". <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 No <br /> Property information: <br /> Property address: )S7 S k 77"C r 1'ei 4.039 T'44r 6 ka-5 ,,,472.6-2 Z <br /> Parcel ID #: <br /> Legal description of property: <br /> 1/4 of 1/4, Section , Town of ker'y <br /> OR <br /> Certified Survey Map ID: Lot <br /> Sketch map provided? Yes No <br /> Additional information (optional): <br /> Name of owner of original faun (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 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 />