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.r+ <br /> oy <br /> 0. + Dane County Department of Planning & Development <br /> i Application for Density Study Report <br /> citiotm- <br /> Date: 141)2 11$ <br /> Landowner information: 1 <br /> Name: C cv 10$ + ©So y co f ,0-b `rw es- 1 e_u l-k <br /> Address: \Ifi Ni ,r�1Ln?�`'‘ took- City: c(Yl Zip Code: 53`I O'j <br /> Daytime phone: (to0f3) e,V-c-Pricl <br /> Fax: E-mail: Ke @nQhpYSL-Cir ,rt.' <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 U No 0 <br /> Property information: <br /> Property address: --. \.A Pt\r9 vrc..o ''L;tSk 'W\ 635d-\ <br /> Parcel ID#: #otoq 2,349500 O o 334 faooc <br /> Legal description of property: <br /> we 1/4 of c 1/4,Section?,?,-51 Town of ("N uv\ <br /> OR <br /> Certified Survey Map ID: Lot <br /> Sketch map provided? Yes *------No 0 <br /> Additional information (optional): <br /> Name of owner of original farm (if known): C.\-a i u Ki l <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 0 <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 />