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C�" r`, <br /> `` Dane County 'epatment of & Development <br /> . fi- <br /> „ <br /> - Application for Density Study Report <br /> r <br /> Dare: <br /> fir/ <br /> Landowner '-,,s mati <br /> Name: / t /144e vai <br /> Address: ' ' Alafifffer,. . ' City: ,'-fit Zip Code: <br /> Daytime phone: 64, ss 5.%1 <br /> Fax: E-mail: <br /> Applicant, ;m ttio (if,dif'rerent from landowner): <br /> Name: / i'1? , <br /> Address: 5 ' �J., ,4.,,,/r 0 City: a` i•1 �-Zip Code: Sj-s7 <br /> Daytime phone: (D 7/lam --V % �/ <br /> Fax: / E-mail: 41�� C � /!�'a «a' <br /> Relationship to landowner: es i/ << ' 4 �/'= `.`�4-e1 /! ' ”. <br /> Are you submitting this ape ication as an authorized .gent for th- landowner? Yes_ No <br /> Property information: // �� / / <br /> Property address: 7/Y///77/13 � i' 6-7 /��` z z.er <br /> 5 c047-3 - 0OD <br /> Parcel ID ,;. _ _ rJ 3 (� g - <br /> Legal description of property: <br /> 1/4 of 1/4, Section , Town of <br /> OR <br /> Certified Survey Map ID: Lot <br /> Sketch map provided? Yes No <br /> Additional information (optional): <br /> Name of owner of original farm (if known): ' `zf'C y /, /�,51/&i 9� <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 Reg. of Deeds Doc. No. (if known) <br /> No x <br /> Don't know �/ <br /> 1� 0 ,,,..1-- <br /> Connents: ZA %/4,-/S lie Gi" 7/ 4// i d <br /> f <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 />