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• <br /> RECEIVED <br /> Dane County Department of Planning & Development <br /> Application for Density Study Report <br /> sco Stiff MAR 1 3 2U1 r' <br /> 3-7-2017 DANE COUNTY PLANNING&DEVELOPMENT <br /> Date: <br /> Landowner information: <br /> Name: Katherine Janssen <br /> 458 Tipperary Road <br /> Address: 608-444-2184 Cit y:Brooklyn Zip Code: 53521 <br /> Daytime phone: KJanssen458(gjaol.com <br /> Fax: Email: <br /> Applicant information (if different from landowner): <br /> Name: same <br /> Address: City: Zip Code: <br /> Daytime phone: <br /> Fax: E-mail: <br /> Relationship to landowner: No U <br /> Are you submitting this application as an authorized agent for the landowner? Yes <br /> Property information: <br /> Property address: 458 Tipperary Road Brooklyn, WI 53521 <br /> Parcel ID#: 042/0509 &25009 <br /> Leal description of property: T 05 N, R 09 E Oregon <br /> Si:A 1/4 of NW 1/4,Section 28 ,Town of <br /> OR <br /> Certified Survey Map 1D: Lot <br /> Sketch map provided? Yes 0 No 0 <br /> Additional information (optional): Previous owner William Hurst, deceased <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 Q Reg.of Deeds Doc. No.(if known) <br /> No l� <br /> Don't know <br /> I own 2 adjoining parcels all totaling 89.5 acres and would like to parcel off no <br /> Comments: ..- - . • - - - •- = - - e__ -- - - <br /> retain 2 building sites on the remaining 704 -2" •- "• - '"• - ' - • <br /> pre-1995 <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 />