Laserfiche WebLink
NA) 0 20 16 — DO a ` -2_ <br /> tNVot - - 1,65114i60. RECEIVED <br /> . . :1; <br /> ,' t' Dane County Department of Planning & Development <br /> r Application for Density Study Report JUN 2 7 2016 <br /> • <br /> DANE COUNTY PLANNING i DEVELOPMENT <br /> Date:e9-J 110 <br /> Landowner information: <br /> Name: lruc!/Gtf l %r� '1 21''4I?S G L C �! <br /> Address:/e; G r % A sf. City:./a ck y)Zip Code: 5-3 S/S <br /> Daytime phone: La 0 £S- MCP 9 1,2 <br /> Fax: E-mail: e • _ 'Mall, �'G7YlC- <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 0 No 0 <br /> Property information: <br /> Property address: <br /> Parcel ID#: 00-4- - -4;4, - /R� - re-P6-1,2 j� 8', - 3- 8 5 5 7 i-/J <br /> 9)9\-Legal 8 G - <br /> // ` -S/5"e r U �D� i - 9evc-f <br /> description of property: l D�G '/! �/95-03_6) <br /> �l� 1/4 of 1/4, Section ,Town of O _// <br /> OR -veto <br /> Certified Survey Map ID: Lot D it <br /> /aY <br /> 3 y - q <br /> Sketch map provided? Yes 0 No 0 0 g a� ^ /a a pert / <br /> 7 <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 0 <br /> Comments: /� = 0.13 11 -i 0/./ -" e- <br /> IG . 12 Ir <br /> _ /I � .I.lrAw <br /> -54 11-14A-f r/77 ty>_ B fl — " <br /> Please allow 3-6 weeks to process your request. A copy of the report will be m d to the landowner, <br /> the applicant(if different from the landowner) and the town clerk. <br />