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• <br /> 441.1 SI"il <br /> Dane County Department of Planning & Development <br /> Application for Density Study Report <br /> Date: 4p A l ?i 7-o re <br /> e <br /> Landowner information: <br /> K <br /> Name: V SC AA,.t <br /> Address: 03 041‘04$ CLd City: Broody Zip Code: 5 552 t <br /> Daytime phone: ( O' - 6'75 -3'7(4 <br /> Fax: E-mail: - S C t-r2 e A.0- L <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 O No <br /> Property information: <br /> Propertvaddress: i(4 tJVmb^) RA (3goola.yoi <br /> Parcel ID#: 0 5O ck Y- 354 - 803o -3 <br /> Legal description of property: <br /> 1/4 of 1/4, Section ,Town of Off' a3J <br /> OR <br /> Certified Survey Map ID: Lot <br /> Sketch map provided? Yes No 0 <br /> °dditignal 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 O 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 />