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<br /> Dane County Department of Planning & Develo q tKG G c' IVED
<br /> Application for Density Study Report Y
<br /> va-4-
<br /> FEB 242017
<br /> Date: 2- ZZ- 11
<br /> DANE COUNTY PLANNING DppMENT
<br /> Landowner information:
<br /> Name: f?QOQLoc Cb 1341AL
<br /> Address: 2--2-1. `^.' Cory mQrG I 54 City: MAiomlkn\ . Zip Code: S35 Lob
<br /> Daytime phone: eo$--19 5_2$Zt
<br /> Fax: (ooh- 195- 2133 E-mail: Tcicxr INN q,\ -tl,,Q3e.o lsSCommu+rNTlybonle,
<br /> Applicant information (if different from landowner):
<br /> Name: Jov,, 1.44,0 er-sor
<br /> Address: .6-5S( Coo ■ P oc,,C 12.0 City: Ate-y, Zip Code: 53503
<br /> Daytime phone:(c,o cb- ?,'3- 1 Lt g ,
<br /> Fax: 60S-153- 2.4°) 9, E-mail:j011y,e ,g1UP+'sar,svrve),;n3, Ca►�
<br /> Relationship to landowner: S ry rz-
<br /> Are you submitting this application as an authorized agent for the landowner? Yes • No 0
<br /> Property information:
<br /> Property address: 4953 Coo y► Et,Ao F r5))z/'c_. w 53S i c-
<br /> Parcel ID #: 8 -33''- `boo o- 3 �bkr 334'-95co°b , 43136-3-(3' 2)to lb- `i Svb-3�3- 1 00o,�
<br /> (6,o c3-- 5 60(43-3 3 Lr `e S'l o -Z
<br /> Legal description of property:
<br /> „',,- 1/4 of s,J 1/4, Section 3'1 , Town of i31 _
<br /> pR n)L'-5E -s c 3
<br /> Certified Survey Map ID: Lot
<br /> Sketch map provided? Yes ® No 0
<br /> Additional information (optional):
<br /> Name of owner of original farm (if known): k-kAly' ,,,t,,.
<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 IP
<br /> Comments: "Tkv, PAS L, wo-yT oj- courydy pot,0 g; rcAf.c,ce'&
<br /> tan 0 'm 130n n 1'tk\S (-Aank 04. P inov.
<br /> ' be."i . .s \o ok•,tn5 44' Se-t1 -I-\,, �r -t i■DizEkDc -3d V-no - r hY
<br /> L.v■ 1 s Ava: 1 c.1„1, MARACA. bS
<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.
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