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o <br /> s `�� ' Dane County Department of Planning & Development <br /> 1 Zai fr. Application for Density Study Report <br /> Date: 5 -11- 16 <br /> Landowner information: <br /> Name: O'Rr: x 'fc ry l Ic'c∎e.1ocabke 'Tc,iS* <br /> Address: 5D9 (glenwa R.d City: 5rookln Zip Code: S3S2- <br /> Daytime phone: <br /> Fax: E-mail: <br /> Applicant information (if different from landowner): <br /> Name: Clilase o`(3c-;pn &c see) <br /> Address: 2.54'-1- 113 City: Sun rc c'\e. Zip Code: 5359 0 <br /> Daytime phone: (FOR- 267-8 7a c) <br /> Fax: E-mail: ctiaseo SSE7@zgnna',l,corvk <br /> Relationship to landowner: "fry s-tee n O`Sr;en Farm Vt S c-ce• ocAlole. Trust <br /> Are you submitting this application as an authorized agent for the landowner? Yes No)( <br /> Property information: <br /> Property address: <br /> Parcel ID#: OSo9-2.71-82.20-3 0509-271-$l20-8 0504-271-9000-7 <br /> 6So9-271-'1610- 0509-2'12.-8030-"2.. OS09 -2"12-9502-9 <br /> Legal description of property: (See a-4-1-achec <br /> 1/4 of 1/4, Section , Town of <br /> OR <br /> Certified Survey Map ID: Lot <br /> Sketch map provided? Yes No <br /> Additional information (optional): <br /> Name of owner of original farm(if known): (2a I pi, 4 a r'a r+Lk 0 c.$r■e n <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 <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 />