Laserfiche WebLink
o <br /> ift‘t t ► <br /> Dane County Department of Planning & Development <br /> Application for Density Study Report <br /> 834, <br /> cstos <br /> Date: 6. /9-6 C <br /> Landowner information: <br /> Name: rv,p o K e lk e-H <br /> Address: V. City: S4 'A e shim Zip Code: S 15 o S <br /> Daytime phone: o / 38,C) <br /> Fax: E-mail: <br /> Applicant information (if different from landowner): <br /> Name: ‘0%1MC■<-. L-Prs oN <br /> Address: 2. 5 1 �P o �3 ^R� ( City:C� e k)c.;"'(Lip Code: S3 51.7 <br /> Daytime phone: 0 (`�' <br /> Fax: E-mail: ,}z.e .r.a.1 1 . co . <br /> Relationship to landowner: et-'d <br /> Are you submitting this application as an authorized agent for the landowner? Yes 0 No d <br /> Property information: <br /> Property address: ()it( - (-13 $ooG - <br /> 1). I o 0 o --I 9.25 Q-`'t; $o c'o - <br /> Parcel ID#: <br /> Legal description of property: <br /> 1/4 of 1/4, Section 1,'1- ,Town of �o (L. Lr • 2 <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 0 <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 />