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y r4i4A1 <br /> 11/9/00/6 <br /> Dane County Department of Planning & Development <br /> Application for Density Study Report <br /> -.00145 <br /> Iot ` (� <br /> Date: Y/31/6 <br /> Landowner information: <br /> Name: S pr <br /> Address: cá C-T-0 / City: Mick) /Crop Zip Code: S 2 S'(Dc3- <br /> Daytime phone: _Co 0 $ S �S— 6 v <br /> Fax: E-mail: r--W c i-✓ e s ad- W e <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: ?o L/Z_ k-a ?AA 60 L Put( , fiLcO <br /> Parcel ID (Yq0 9-32 y $S DD <br /> Z PA-A'. : 15 A- 5 <br /> Legal description of property: n <br /> 1/4 of 1/4, Section Town of 'f' S0 r--S • <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 />