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• <br /> Dane County Department of Planning & DevelopmC ED <br /> o � � Application for Determination of Parcel Status <br /> OCT i 0 2008 <br /> DANE CO PANNING&DEVE1DPMENT <br /> Date: ! - 10--og Receipt# <br /> Landowner information: <br /> Name: STE\1 44--W7 RO & a�C W2 <br /> Address: 18R,_, TpQ,. City: \I>✓RID O L Zip Code: S-.3.51:3 <br /> Daytime phone: S4-7- 4 4,4-p <br /> Fax: Gelb - 244-6 1 l5 E-mail: s \/tom <br /> Applicant information (if different from landowner): <br /> Name: \ andit Gus' bM. VLOMes, I k ( <br /> Address: 7.91,59 -jsl\Er221- f jz City: tyckT2t901..i Zip Code: t <br /> Daytime phone: (,,oa -t14--t34 lc, <br /> Fax: ( bc � 2-7(7- 6239 E-mail: pet.11„t13 ti.l0(2.4.92..exi)cLiKb Vtt wt.i<�-Corwk <br /> Relationship to landowner: ,1...)-r .,7-0{Z <br /> Are you submitting this application as an authorized agent for the landowner? Yes _No <br /> Property information (be as specific as possible): <br /> Property address: <br /> Tax Parcel ID#: rJ to X7`7 <br /> Legal description of property: <br /> NNE 1/4 of W 1/4, Section 'L , Town of W?_tt 6,,,DAL6. OR <br /> Lot(s) ,Block , Plat of <br /> Sketch map provided? Yes No <br /> Additional information (optional): <br /> Name(s) of previous owner(s) (if known): <br /> Comments: f''Aki=i--i_ )- — t:.a v � n Sr+ �s i s <br /> ACC e_5S E Scit sari <br /> Important Notice: A Dane County parcel status determination is preliminary in nature and <br /> only determines if a parcel of land was created in accordance with Dane County ordinance <br /> provisions. Additional title history research conducted by a title company may be necessary to <br /> verify parcel status. Dane County and its staff are not responsible for any misrepresentation or <br /> mischaracterization of the information contained in the parcel status determination. <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 /> S:\Web Transfers\PlanDev\Parcel status application.doc Page 2 of 2 Revision 11.26.2007 <br />