Laserfiche WebLink
r , <br /> V' Dane County Department of Planning & Development <br /> App lication for Density Study Report <br /> 3Asti <br /> Date:c://lit /go 17 <br /> Landowner information: <br /> Name: 3Oa lijr Lace SWE r�eM <br /> Address: 360 Dmt tits City:i rrr ��DV'1tb Zip Code: 535.7x. <br /> Daytime phone: c13-431 3o <br /> Fax: 0$"t{'31"$ $`F E-mail: }'1C.+ legit to}tic. Ref <br /> Applica information (if different from landowner): <br /> Name: <br /> Address: Cit Zip Code: <br /> Daytime phone: <br /> Fax: - <br /> Relationship to wner: <br /> Are yo mitting this application as an authorized agent for the an.. •• ' Yes S No 0 <br /> Property information: 'r <br /> Property address: 3 0 L°ocwnrL (Rad u G /t)t 2714) Movr,T gore b c. 53 51> <br /> Parcel ID#: 3 e 10 attc•Tched c. <br /> Tcire l ad S <br /> Legal description of property: 5ft !b {ATiclath <br /> 1/4 of 1/4,Section ,Town of \/&er'10 r1T <br /> OR <br /> Certified Survey Map ID: Lot <br /> Sketch map provided? Yes 0 No 0 <br /> Additional information (optional): <br /> Name of owner of on final farm(if known):al Ina-t ou-, ► *k -� xc ec�+ smc.e Mkt—4 <br /> 'prLha.Seci rT 4y1?)'�'1 551e. A�1rX'�t�h'r cr was orc 4t� vntnMVctw VAP <br /> Are there any recorded agreements,liens,deed restrictions,easements orother legally binding <br /> documents that would affect the number or distribution of potential building sites on the property? <br /> Yes S Reg.of Deeds Doc. No.(if known) <br /> No <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 /> //./ <br />