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0 <br /> ' Dane County Department of Planning & Development <br /> „4„ .. Application for Density Study Report <br /> Date: 5-23-16 <br /> Landowner inf mation: <br /> Name: Branford Kerns <br /> Address: • • ' ' • City: ' -'' Zip Code: <br /> Daytime phone: 608-835-3459 <br /> Fax: E-mail: <br /> Applic pt infmation (if different from landowner): <br /> Name: oore Surveying, L <br /> Address: 2918 Marketp1 ce Drive City: Fit burg Zip Code:53719 <br /> Daytime phone: 608-288-1860 <br /> Fax: 608p-288-1877 E-mail: tmoore @mooresurveyingllc.com <br /> Relationship to landowner: Consultant <br /> Are you submitting this application as an authorized agent for the landowner? Yes ® No 0 <br /> Property information: <br /> Property address: 6126 Sun Valley Pwky <br /> Parcel ID #: 042/0509-064-8001-9 <br /> Neal description of property: <br /> 1/4 of bE 1/4, Scction 6 , Town of Oregon <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): N/A <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 tel on the property? <br /> Yes 0 Reg. of Deeds Doc. No. (if known)see e ow <br /> No <br /> Don't know 0 <br /> Comments: Access Easement R14399/58 Doc.#2208950 <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 />