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, <br /> O s '►;>*�1 �I e <br /> Dane County Department of Planning & Development <br /> t <br /> b i4;L" y Application for Density Study Report <br /> L.Boq <br /> Date: July 14,2016 <br /> Landowner information: <br /> Name: Bette Hoesly Living Trust <br /> Address: 3002 State Hwy. 73 City: Deerfield Zip Code: 53531 <br /> Daytime phone: <br /> Fax: E-mail: <br /> Applicant information (if different from landowner): <br /> Name: Matthew R. Leffler <br /> Address: 2 E. Mifflin Street, Suite 200 City: Madison Zip Code: 53703 <br /> Daytime phone: 262-409-2299 <br /> Fax: 262-524-8500 E-mail: mleffler @axley.com <br /> Relationship to landowner: Attorney for owner _ <br /> Are you submitting this application as an authorized agent for the landowner? Yes X No <br /> Property information: <br /> Property address: Corner of SE corner of Hwy. 73 and Fadness Road <br /> Parcel ID#: 016/0612-033-8501-0 <br /> Legal description of property: <br /> NW 1/4 of SW 1/4, Section 3 , Town of Christiana <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): Hoesly <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 X _ Reg. of Deeds Doc. No. (if known) <br /> No <br /> Don't know <br /> Comments: Splits have been transferred from other farm parcels to the subject Property. <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 />