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• <br /> ` 044 Dane County Department of Planning & Development <br /> • <br /> 4 Application for Density Study Report <br /> Date: Mkr 200 <br /> Landowner information: ''II <br /> Name: 'AHg-s +- S-1.4,a€w kture.gx) <br /> Address: 319 3 1 City: STOcIGNtoN Zip Code: 5 3 5 87 <br /> Daytime phone: (cos) 2 7 3- 7c ' <br /> Fax: E-mail: <br /> Applicant information (if different from landowner): <br /> Name: 13124.v,204) /4,2 , osut>.tv&, LLC <br /> Address: P o !lox 1?'6 City: G,4trs✓Iet.a- Zip Code: 516 30 <br /> Daytime phone: (hod) 6,92- 2ZOS <br /> Fax: E-mail: St L i r(42 At9/iCl� consu��;��.co•�. <br /> Relationship to landowner: L.f},vo Su2ugYOR <br /> Are you submitting this application as an authorized agent for the landowner? Yes 0 No 0 <br /> Property information: <br /> Property address: 3q 9 3 rxN Alt-Tar,z A . uog7-0,v z , w_r S'3 5 g9 <br /> Parcel ID #: 061 0— 2 81 - 5000- 2- <br /> Legal description of property: <br /> /U 1/l of NE 1/4, Section Zg , Town of MINA/ <br /> OR <br /> Certified Survey Map ID: Lot <br /> Sketch map provided? Yes No O <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 fr <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 />