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P, <br /> ,_- „- Dane Coun ty Department of Planning & Development <br /> :3.16,14f Application for Density Study Report <br /> 414 , Sit <br /> Date: 3/17/2016 <br /> Name:a oeert mcuowelland Sharon McDowell <br /> Address: 1312 Woodgrove Way City: Jun rran ie Zip Code: 5d"U <br /> Daytime phone: 608-318-1462 <br /> Fax: E-mail: rowthimcd@merr.com <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 <br /> Property inform t'o 3: <br /> Property address: 43 Oak Park Rd, Marshall, WI 53559 <br /> Parcel ID#: 0812-204-8000-7, 0812-204-8500-2, 0812-204-9530-4 <br /> Legal description of property: <br /> NIL 1/4 of bt 1/4, Section 20 , Town of Medina <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): <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 /> O <br /> No • <br /> Don't know 0 <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 />