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Of, <br /> Dane County Department of Planning & Developme R ECEIVED <br /> Application for Density Study Report <br /> 83?., _. <br /> -rs 3cas FEB 6 2017 <br /> Date: 1/3 /Zo/ <br /> DANE COUNTY PLANNING&DEVELOPMENT <br /> Landowner information: <br /> Name: TFD Z,/c44 Tew }EL,t� <br /> Address: Z-7 OLD LJJJ Rte City: CAMB,ZID$f Zip Code: 5-35-0,3 <br /> Daytime phone: S/2- - 607 <br /> Fax: E-mail: %d/i c h-ft'me • Conn <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 1 No 0 <br /> Property information: <br /> Property address: Z- 5 OLp LUND RD CAfil SIZID(E� (N/ 5-33--23 <br /> Parcel ID #: 016 - Oil? -- 354 - Soup - O <br /> 5Ec. 35 Io 12. \Z <br /> Legal description of property: - 1\ <br /> N 134,f SIC 1/4lSection 3� , Town of C A -257-2,1-444- Se <br /> C 3 S-(a- I\ M yL <br /> 561.4 ecC <br /> OR 5E ■14- D bg/S-K D-76 0/316 ? <br /> Certified Survey Map ID: Lot � <br /> 12 3 <br /> Sketch map provided? Yes 0 No • <br /> 64/ST I <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: <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 /> • <br />