Laserfiche WebLink
pcfpeA/ <br /> 40-1- --'b. 201s6 - O000 K <br /> U� �' Dane County Department of Planning & Development <br /> Application for Density Study Report <br /> 7F39 <br /> -14CifIt4S1 <br /> Date: 0 ' 7 <br /> Landowner information: <br /> Name: Char ie 5 e £1 o I ?L4-v1 b ems-C� - <br /> Address:lc 4 {' l o vti; ,1; R City) o o:e 6 Zip Code: 535 7 <br /> Daytime phone: 6p$ "-74s-Jo3e 7S7 -i/6 71 - qys�'/ 6o '-SSE -16 & 7 , <br /> Fax: no*. ‘,0 - 74 V -to 3 6 E-mail: all ci a i L., r v Lib Al cu--te utA k o a.C O ei''I j . <br /> read ..C;r s I- U pardo ed _C vte e,U ya.t-, G n ,t o:.--.. <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 e <br /> Property information: <br /> Property address: $61`i g Do w,∎ , : �2 a- , n11- . 1-lace In <br /> Parcel ID #: 0 O/o"7 07 3 3 3 £S- . C, r_, <br /> Legal description of property: Pia Lk) 4,4 of 5 t 1/4, Section , Town of C r o S S la ► " <br /> OR '/1 <br /> Certified Survey Map ID: 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 Reg. of Deeds Doc. No. (if known) <br /> No <br /> Don't know kV <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 />