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Dane County Department of Planning & Development <br /> Application for Density Study Report <br /> Date: 2.1 -30 - (2 <br /> Landowner informat' n: <br /> Name: % ueev-Qef- A Ud 1-1-02✓> <br /> Address: .2;}) ft,)-CIro City: VevDcce( Zip Code: 5"3 <br /> Daytime phone: fool/ eigef-DYQb <br /> Fax: E-mail:_ .WROec ✓a 97m 4,• I ,Cow-t <br /> Applicant information (if different from landowner): <br /> Name: 5URDt Ye._ ✓ <br /> Address: ,247Q C q p1.e t"4(1' ('R City: r(1-4,,k ,r�(0 Zip Code: s 33U/ <br /> Daytime phone: be- g S� J <br /> Fax: E-mail: �v,5 • Corn <br /> Relationship to landowner: Xp,,,5- UU <br /> Are you submitting this application as an authorized agent for the landowner? Yes5,,Q No <br /> Property information: <br /> Property addres : NO d-e S <br /> Parcel ID #: (77'Q <br /> Legal description of property: <br /> 1/4 of 514) 1/4, Section "`I . Town of "774 p <br /> OR <br /> Certified Survey Map ID:jot 5`3 Lot(3) E L) <br /> Sketch map provided? Yes V No <br /> Additional information (optional): <br /> Name of owner of original farm (if known): <br /> • <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 />