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o <br /> Dane County Department of Planning & Development <br /> • . .x.�i' y' Application for Density Study Report <br /> CVCCitiVb <br /> Date: 6-1-2017 <br /> Landowner information: <br /> Name: Michael J Cavill Residence Trust <br /> Address: 4161 Barlow Rd City: rrncc Plainc Zip Code: c3. 7R <br /> Daytime phone: 608-271-2999 <br /> Fax: E-mail: <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 information: <br /> Property address: 4161 Barlowy.d 6/ <br /> Parcel ID#: 0707-174-8041-8, 171-9592-3, 171-9600-2. 171-9000-8, 171-8001-9 <br /> Legal description of property: Cross Plains <br /> NE,SE,SW 1/4 of NE 1/4, Section 17 , Town of <br /> NE OR SE <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): <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 0 <br /> Don't know 0 <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 />