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Dane County Department of Planning & Developm nt <br /> Application for Density Study Report ECEIVED <br /> 400 <br /> JUL - 5 2011 <br /> 6/28/17 <br /> Date: <br /> Landowner information: <br /> AWE COUNTY PUNNING&DEVELOPMENT <br /> Name: Troy and Denise Grindle <br /> Address: 6469 Nature Valley Drive City:Wai Inakpa Zip Code: 53597 <br /> Daytime phone: <br /> Fax: E-mail: <br /> Applicant information (if different from landowner): <br /> Name: Mark Nortman First Weber <br /> Address: 207 N. 8th Street City:Mt. Horeb Zip Code:53572 <br /> Daytime phone: 608-575-3393 <br /> Fax: E-mail: nortmanm(a�firstweber.com <br /> Relationship to landowner: Real Estate Broker <br /> Are you submitting this application as an authorized agent for the landowner? Yes ® No 0 <br /> Property information: <br /> Property address: 59.64 vacant acres Drammen Valley & Riverfork Roads <br /> Parcel ID#: 0506-303-9100-0 <br /> Legal description of property: <br /> SW 1/4 of SW 1/4, Section 30 , Town of Perry <br /> OR <br /> Certified Survey Map ID: 11674 Lot <br /> Sketch map provided? Yes 0 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 O Reg. of Deeds Doc.No. (if known) <br /> No <br /> Don't know CV <br /> Comments: Please send copy of the report to Mark Nortman <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 />