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Dane County Department of Planning & RZEVE D <br />Application for Density Study Report <br />Date: 3-7-2040 <br />Landownerir <br />Name: <br />Address: �1 <br />Daytime phone: <br />Fax: <br />R, SG et <br />MAR 9 2020 <br />iN <br />DANE COUNTY PLANNING & DEVELOPMENT <br />Applicant information (if different from landowner): <br />Name: SaV'-e a1' a10rJJ -2 <br />Address: City: Zip Code: <br />Daytime phone: <br />Fax: E -mail: <br />Relationship to landowner: Sa (�- <br />Are you submitting this application as an authorized agent for the landowner? S <br />Property information: n <br />Property address: 290 17601 17 0 Zr 1 '7 (oQ U�' lbw L 4- <br />ParcelID #: 671 - 3Gz- 8(Q,W -D 0711-362 -WZ-0 071[- 342-95Y0-O, 07/(- 322- 9C>�fo D <br />�pa✓r� I AIk ' C / <br />�G 3 �- 8� .. <br />Legal description of property: <br />1/4 of 1/4, Section 36 , Town of Co o 6Ma-2_ <br />OR 13[145 <br />Certified Survey Map ID: Lot o ? f ! - 3C L -'?540-0 <br />Sketch map provided? Yes= Noll <br />Additional information (optional): <br />Name of owner of original farm (if known): nQ 67�(/- �ru PancQ)ut�,TS <br />Are there any recorded agreements, liens, deed restrictions, easements or other legally binding <br />documents th ould affect the number or distribution of potential building sites on the property? <br />Yes—Lj Reg. of Deeds Doc. No. (if known) <br />No <br />Don' know <br />Please allow 3 -6 weeks to process your request. A copy of the report will be <br />the applicant (if different from the landowner) and the town clerk. <br />Z l ZooC, <br />191 car I <br />I to the landowner, <br />REV 01/0112019 <br />