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o <br />�o <br />Dane County Department o Planning &Development <br />,} Application for Density SYUtly Report <br />�W_4 <br />Date: April 5, 2020 <br />Landowner information: <br />Name:_ Marc Brody _ <br />Address: 3422Kelllher Road _City MOmtHOreb DpCOde_ 53572 <br />Rayhme phone: 608 3333888 <br />Fax has E,mail. bre�andam untainnr <br />Applicant information (if different from landowner): <br />Name <br />Address: _City Zrp Code_ <br />Daytime phone. <br />Fax Email: <br />Relatonship to landowner�� <br />Are you submithng this applicaton as an authonzed agent for the landowner? Yes_Q NOT7 <br />Property information: <br />Property address: 3422 Kelliher Road Mount Horeb W 53572 <br />Parcel ID #. 0 60/07 06 332- 8592 -1 AND 060/0706 332- 8531 -4 <br />legal desen tlov of <br />PLUS NW 1/40f NW 1/40f Section 33 <br />NE P NE P operty 32 Vermont <br />ll4 of pro Sectlov Town of <br />OR Text <br />Cefffied Survey Map ID'. _ Lot <br />Sketch map provided? Yes No-E] <br />Name ow information ormatiol fact(optional) <br />Kelliher FaIm, Dea d end of KeIli her ROa d, Town of Vermont <br />Name of oamerormation (amr (if lalowv). _ <br />Are Here any recorded agreements, liens, deed restrictions, easements or other legally binding <br />documents that would affect the number or disMbuton of potevtlal building sites on the property? <br />Yee n Reg. of Deeds Doc No (if brown) <br />No_0_ <br />Don t know _FV1 <br />Comment: The o nor no l Kell in er Farts of over 17 O a ore s was assign Ed 5 on no in as sites. <br />M am worked with Town of Vermont rep reent OVes to do on ment th e 56ull din q sites hav <br />been sed or assigned as follows: 1 site torto rimer D. San as n ow J. Bra by parcel 8440 -8, <br />1 site forW. Lehner parcel 810091 site forTm Fairchild 2 sites to r Ma m Brads <br />Plmeallow3 -6wu toproo- syowre uest A copy of the report will be mailed tote landowner, <br />the applicant (if different from the landowner) and the town clerk <br />REV 01 ffil am 9 <br />