Laserfiche WebLink
Dane County Department of Planning & Development <br /> Application for Density Study Report <br /> *UM- <br /> 4tCcotw <br /> Date: <br /> Landowner information: <br /> Name: F L�Lanai (LAc nrvLit. <br /> Address: ?Yl Irk.l t City: NA.. h10rtV3 Zip Code: 5 3 5 ,2 <br /> Daytime phone: Col d- G-70 --y 10"1 (3- F —yamI y— 1708 <br /> Fax: E-mail: drAL;i . ted to r s f i 5 . corn <br /> Applicarinformation (if different from landowner): <br /> Name: 1 jams.J i141 t.,(o' <br /> Address: 7CY to E 13i ue Moo^di Rci City: i• Wirt ki Zip Code: 5 35 7.1 <br /> Daytime phone: (.,l - C,70 -`1!0'7 <br /> Fax: E-mail: CA&v c..t S e Corn <br /> Relationship to landowner: Cc)c fk-)e. [)(... )f'e.c- <br /> Are you submitting this application as an authorized agent for the landowner? Yes 0 No U <br /> Property information: n <br /> Property address: fl I et (ou+� L4�4I t �J �� , �4vcL\, Li-)z' 3 Sr7 <br /> Parcel ID#: Se, y.•!°s <br /> Legal description of property: <br /> 1/4 of 1/4,Section ,Town of <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): t_.,6 o<«��'` �� �0 r <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 /> No <br /> Don't know 0 <br /> Comments: co enw.e_sc d` S s •ts, l Oe.t.x.\ <br /> 6 <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 />