Laserfiche WebLink
t . _ Vr- <br /> Dane County Department of Planning & Development <br /> t. Application for Density Study Report <br /> d <br /> Date: 1-26-2017 <br /> Landowner t ssrr a <br /> rm o <br /> Ne ty I rust <br /> Name: <br /> Address: 16 Glenway St. City:mauison Zip Code: 3i(lib <br /> Daytime phone: 6084864159 <br /> Fax: E-mail: esserbrewer©centurytel.net <br /> Applicant information (if different from landowner): <br /> Name: <br /> Address: City: Zip Code: <br /> Daytime phone: <br /> Fax: E-mail: <br /> Relationship to landowner: <br /> Are you submitting this application as an authorized agent for the landowner? Yes Q No <br /> Property information• <br /> property address:no address <br /> Parcel ID . <br /> Legal description of property: <br /> SE 1/4 of NW 1/4, Section 35 ,Town of Dane <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): <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 /> Don't know 0 <br /> Comments: The Density Study is for 2 parcels: 0908-351-9001-0 and 0908-351-9502-0 <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 />