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Dane County Department of Planning & Development <br /> Application for Density Study Report <br /> as46 <br /> Date: -/.- /!o <br /> Landowner informatioN <br /> Name: Minute, 3' -f vc r- <br /> Address: m o N- S a+'�a City: be,c, tiolA s Zip Code: 53 531 <br /> Daytime phone: 4e$--71 a- <br /> 7531 't <br /> Fax: (0 o 8- 7 6,N -g343 E-mail: v v.:Lai Cp r�co-)c@ I4t t (,Ccyn <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: MOP- 5c e . <br /> Parcel ID#: 07/1133417 P <br /> Legal description of property: <br /> Sl= 1/4 of St„, 1/4, Section 1'1 , Town of C-44.41,54. %njv... <br /> OR <br /> Certified Survey Map ID: Lot <br /> Sketch map provided? Yes No <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 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 />