Laserfiche WebLink
fPcPULry-r oa)- yawl <br /> o � RECEIVED <br /> `'�' Dane County Department of Planning 8� Development <br /> ti <br /> \ Application for Density Study Report <br /> - v SEP 22 2016 <br /> DANE COUNTY PLANNING&DEVElOPIIE'NT <br /> Date: 3 D Ah 2 ( ) <br /> Landowner information: <br /> Name: r--epees • 4- 9 v rA ,2ek$.y ' stir, 77 it H � 3'' v' .•-t A . �� Ley <br /> Address: $ '7 6 5/4.%Alf^ ���J. R.�City: C,�ss �°�� s-r Zip Code: <br /> Daytime phone: '3 S — S' 2 r <br /> Fax: E-mail: <br /> Applicant information (if different from landowner): <br /> Name: JCir.,f . X s <br /> Address: 7/7/0-2„ L e, J-H,r h City: M;/P44,,,, Zip Code: <br /> Daytime phone: off) 3G' " 3 1`7 `) Zi <br /> Fax: E-mail: v Yria5 Ye4Jf y, con, <br /> Relationship to landowner: <br /> Are you submitting this applica ir.n as an aut • zed agent for the landowner? Yes • No O <br /> Property information: <br /> Property address: 7 C s d i r V4170 y /1) (t e 4 /1J i ' c� S ?_s=2 <br /> Parcel ID#: 6 7 0 7 - r‘/ 4. 0 - $ <br /> Legal description of property: <br /> 1/4 of 1/4, Section , Town of <br /> OR <br /> Certified Survey Map ID: tie JC Lot r <br /> Sketch map provided? Yes 0 No e <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 0 Reg. of Deeds Doc.No. (if known) <br /> No 0 <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 />