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. • DC eDLN. - Z_ors -Db 02.) <br /> v--'1 .4..-14.... , <br /> ;�;^ Dane County Department of Planning & Development - <br /> �r-;= <br /> 't1,,, ,p3 Application, for Density Study Report <br /> Date: -- '3. 0 R- i <br /> Landowner information: <br /> Name: Dori PAF e 0 8•r6)-1/1.Q,P <br /> - . • <br /> Address: 1 J <br /> r l k r . City: ,/foWi Zip Code: 6-g q 3 <br /> `� <br /> Daytime phone: bO tN1( --O'- <br /> Fax: E-mail: �:i&; ejr9.e•,rL• '414- .e«t . <br /> Applicant information (if different from landowner): <br /> Name: r0(re-/-C / <br /> Address: aq (7). 1�![- 1 e E City: ,' :Q4 t' _ Zip Code: L 3 / <br /> Daytime phone: ( o ) ? 5, --o �-3s <br /> Fax: E-mail: Sco:r0 re bon lOar LI r ea - rS•C..4-41 <br /> �� s <br /> Relationship to landowner: �-€ , A - ; <br /> Are you submitting this applicati6n as an authorized agent for the landowner? Yes No <br /> Property inforrnati,on: 7 . <br /> Property address: V Lf 3 7 6.fAa., (14,t t- V1-6f'ou 6L- <br /> ( <br /> Parcel ID.1: <br /> Legal description of property: <br /> cs <br /> 1/4 of /4, Secti , Tow o� , r1 "t�-�L ., C�C� ` c)---f S-5-0 ( 956 <br /> t OR Cffst001. 19 500 (41-8 t f `,5-0( �e(5OO <br /> Certinurve T a ID: Lot <br /> 5 <br /> Sketch map provided? Yes 7 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 /> • <br /> Comments: <br /> • <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 />