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pcFp2 - Ooo37 <br /> t ;- _ Dane County Department of Planning & Dev�tgEme LIVED <br /> ` Application for Density Study Repo :.lJ <br /> %WA. <br /> AUG 1 6 2016 <br /> Date: 8/is-1;k, DANE COUNTY PLANNING&DEVELOPMENT <br /> Landowner information: <br /> Name: ?S f.t o /At V£.5 T M a i 5 4J/11 T €.3-.) -1-14RT/V-RS J4 I P <br /> Address: 9Y 8S PgArut,v R• City: SC-keg M,4R7}4 Zip Code: 5-3S75- <br /> Daytime phone: 742 7 3 3S{, <br /> Fax: E-mail: FcS Et DFA AM r_bs <br /> Applicant information (if different from landowner): <br /> Name: Ton ) rcS >',.iD <br /> Address: ?`f$S BR/444/v RL City: 314C K g,¢RTh1Zip Code: v•357S- <br /> Daytime phone: 7(, 7— 3 3Z-4 <br /> Fax: E-mail: f S S t D F.442/-f 6) 7—bs .NAT <br /> Relationship to landowner: G EN€R4 L PA¢RTA. .K <br /> Are you submitting this application as an authorized agent for the landowner? Yes .e■ift41# <br /> Property information: <br /> Property address: � '8 Ak AJ Rd� 864-ex- € RTIA-/ W1, S 36/S" <br /> Parcel ID #: C707— /82. -- 8444-i 0707 - /92- 40 00 --S- <br /> O 7e•4 -' t 3/ --Saar) --p • 0704 — /3/- ?Sao--3 <br /> Legal description of property: <br /> 1/4 of 1/4, Section f 3 , Town of V?-RMoM <br /> OR " 18 moss Q1,.,4v NS <br /> Certified Survey Map ID: Lot <br /> Sketch map p rovided? Yes 'F.71 <br /> Additional information (optional): <br /> Name of owner of original farm (if known): .b R • • F Fcs 52D MAR? z-,sue )~a S&t.D <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 0 Reg. of Deeds Doc. No. (if known) <br /> No <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 />