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' '� <br /> t Dane County Department of Planning & Development_ <br /> -RECEIVED <br /> ,_ Application for Density Study Report <br /> acotirs- <br /> OCT 24 2016 <br /> Date: /O-ii-!(v <br /> Landowner information: DANE COUNTY PLANNING&DEVELOPMENT <br /> Name: S.k ASS 1o\ ES - ��u` <br /> Address: (010 tt`:,A. StK`cet City: *ZdIR.),)ilk Zip Code: 63$06 <br /> Daytime phone: (eoe-517-'921(0 <br /> Fax: E-mail: - jor✓to-S j <br /> vc e55y*& ahoo.c:.eok <br /> Applicant information (if different from landowner): <br /> Name: - rrnryt gs f- <br /> Address: -1 \L\ City: o n Zip Code: 636j- Z( <br /> Daytime phone: Coo&-5 6- `Z 09 O <br /> Fax: E-mail: 0.440,.,g 55,Y oc coin <br /> Relationship to landowner: A///{u,✓ j �,)j4 i <br /> Are you submitting this applicdtion as an authorized agent r the l downer? Yes 0 No 0 <br /> Property information: <br /> Property address: (I(02 C. \A,-t * ,,, A C3 rtoseln k <br /> Parcel ID#: 0-12.1 O 50c1 .- 1P4 occ) -3 <br /> Legal description of property: <br /> SW 1/4 of SE. 1/4, Section 18-51 Town of Doe-30i1 <br /> OR <br /> Certified Survey Map ID: Lot <br /> Sketch map provided? Yes 0 L <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 <br /> i <br /> *Li" <br /> Comments: L 'L- aril 41 &veal& 1?o44 - <br /> ( r 4.ire_. k:51A- " u. " ON" �e a-4-te∎.G1n.t <br /> --r-N_ vu,.,A&. 36.A..6._ .gin .`es --2' 441,0_ ci+..-�1ov.44. 0, c <br /> ,i, I <br /> .. " L _ . i .., a a_ <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 />