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RECEIVED <br /> a . 1-v.:NI. <br /> Dane County Department of Planning & Development <br /> Application for Density Study Report APR 1 9 2018 <br /> DANE COUNTY PLANNING a DEVELOPMENT <br /> Date: J /i ,/i <br /> 0 <br /> Landowner information: <br /> Name: 'VIA _/),pJi- LI�o1kfFGL <br /> Address: Z 2 oc Q s( S i -EE City: ( DISp/W Zip Code: -7O4 <br /> Daytime phone: Go,2) • <br /> Fax: ((0475 g 3 G (.44.±5c— E-mail: t Lis q-.t 'C—� �ma 'Co vv\ <br /> Applicant information (if different from landowner): J <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 ® <br /> Property information: <br /> Property address: '220e; Ca th• L-4 On) .fit> 141 c -pAp.A.,A.N D , try 5 3(cS 8 <br /> Parcel ID#: 6 e e -Qc,(1.a� <br /> Legal description of property: e f�4ALA-cam <br /> 1/4 of 1/4, Section , Town of <br /> OR e <br /> Certified Survey Map ID: Lot S.ee Al ac-L-eA <br /> Sketch map provided? Yes 0 No 0 <br /> Additional information (optional): <br /> Name of owner of original farm (if known): _t ( N 11241`11)' <br /> Are there any recorded agreements, liens, deed restrictions, easements or other legally binding <br /> documents that woul®d�.ffect 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 />