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I12.33 ( f <br /> o <br /> ' _n_ Dane County Deparbnent of Planning & Development <br /> Application for Density Study Report <br /> Date: 1-26-2017 <br /> Nando�sserii-amity Trust <br /> Name: <br /> Address: _�6 Glenway St. City:nnduIsUn Zip Code: 53/U5 <br /> Daytime phone: 608-486-4159 <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 0 No® <br /> Property informal g2:Hyslop Rd. <br /> Property address: 665588 <br /> Parcel ID#: 0908 351 9502 0 <br /> Leal description of property: <br /> 5 1/4 of Nt 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 <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 />