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v ' ' Dane County Department of Planning & Development <br /> 7. Application for Density Study Report <br /> fscorl <br /> Date: - S - 1.b <br /> Landowner information: <br /> Name: Al ms i44 t 1 e /1-591-1- 1i4'N J'1') rL614 4 L C <br /> Address: a9z,, 0,40n./ RD City: (3n r,,k4,4 Zip Code: C3 SZ/ <br /> Daytime phone: buy LZS- L42.S ( c1._40- 55- 13 57 <br /> Fax: e,0g ASS- E-mail: <br /> Applicant information (if different from landowner): <br /> Name: 01 N Mck.kstx \L <br /> Address: City: #ik 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: x`16 /AD°^/ RD 8/LDO iN Lois 5-35-2 <br /> Parcel ID #: - <br /> 0509 - 36Z - 8500 - q <br /> Legal description of property: 050q • 3b Z -S 056 - `1 <br /> 5E2 1/4 of 1/4, Section ,Town of aE�0k.) 050 - 351 - 9001 - O <br /> OR C5509 -351 - 13501. - <br /> Certified Survey Map ID: la I A Lot 0 so - 3s1 - g 001 - U <br /> Sketch map provided? Yes <br /> 0 No 0 0 So q - `156b - <br /> Additional information (optional): <br /> Name of owner of original farm (if known): 144 p2 M p lC*t r<S.k LL- <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: "Di 5501 0`11\t6:3 �f R`C Nr���� - koo n4 6 TO <br /> 5�f5-t -(Art 't 14L t 1'vIN <br /> Or►k 5-a-c 51A-1. h*5 -ba Kc- o-r <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 />