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PDE ZO4 _ c oe 2 <br /> pja <br /> Dane County Department of Planning & Development <br /> Application for Density Study Report <br /> $ <br /> Date. 7 15/2018 <br /> • <br /> • Landowner information: 4sA <br /> Name: Jeffrey R. BAYLIS <br /> Address: - • • - . . - . _ . <br /> City: - - <br /> • Daytime I tone: <br /> 608-798-3602 y' Zip Code: <br /> Fax: E-mail: jbaylis @tds.net <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 s bmitting this application as an authorized agent for the landowner? Yes • No 0 • <br /> Property information: <br /> Property L.Jdress: NA <br /> Parcel ID 070716180002 <br /> Legal des. •iption of property: <br /> • 1/4 .)f 1/4, Section , Town of <br /> OR <br /> Certified :''urvey Map ID: 4016 Lot LOT 2 <br /> Sketch•map provided? Yes 0 No 0 <br /> Additional information (optional): <br /> Name of owner of original farm (if known): <br /> • <br /> Are there...ny recorded agreements, liens, deed restrictions, easements or other legally binding . <br /> documen! that would affect the number or distribution of potential building sites on the property? <br /> Yr s 0 Reg. of Deeds Doc..No. (if known) <br /> No • <br /> Don't know 0 <br /> rr • <br /> Comment : <br /> Please all w 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 /> • <br />