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Dane County Department of Planning & Development <br /> Application for Density Study Report <br /> 4/'*11 <br /> Date: io q 100 n <br /> Landowner information: C <br /> Name: NI v6eQ\ M - Soku a.r2 d &i 4t LL1 <br /> Address: 7393 f �r , Koko( City: t4644/pie, Zip Code: 53SG a <br /> Daytime phone: 1 - (en- 5 31--7116- <br /> Fax: E-mail: <br /> Applicant information (if different from landowner): <br /> Name: 4 TSe ft Loalt2 d So y, L1 C. <br /> Address: '3 City: f'(;'ow 1 eie,N Zip Code: 5-356a <br /> Daytime phone: 1 -. (,O _tA 31 -7$7 S <br /> Fax: E-mail: ,T5ckwo.v'ij _ Glnoyke, Inc t. <br /> Relationship to landowner: <br /> Are you submitting this application as an authorized agent for the landowner? Yes No <br /> Property information: <br /> Property address: <br /> Parcel ID#: 0-7 C 6 - o ck\ '$'Gjo <br /> Legal description of property: <br /> 1/4 of 1/4, Section Oq , Town of y E LirANov. <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): <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 <br /> Don't know <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 />