Laserfiche WebLink
-"-.° Dane County <br /> Department of Planning and Development <br /> • 210 Martin Luther King Jr Blvd Room 116, City-County Building,Madison,WI 53703 <br /> �4. Phone(608)266-4251 Fax (608) 267-1 540 <br /> Condominium Review Coversheet <br /> NOTE TO APPLICANTS: " Checks should be made payable to Dane County Treasurer <br /> * This coversheet must be included with any condominium instrument proposed for review by Dane County. The ten day review <br /> period will begin when the following materials have been submitted: <br /> "Condominium Instrument Completed CoversheetApplicable Fees (5165 + 425;unit) <br /> (as defined in chapter 703,Wis. Stats.) YYYYYY���''�lllll S100A maximum <br /> Condominium&Location Information <br /> Name of Proposed Condominium Municipality <br /> T ^l.JES STREET eONDOM in I P4 jV/L..c_,46-7c of L20SS RGA/n/S <br /> Address I Parcel Number(s) <br /> 3n25/3027 T NN ES STREET O807 — 35-3 - 9870 - 4 <br /> Applicant Information <br /> Name of Applicant Phone Number Fax Number <br /> 512REAIKOT7- Su12YEYl^16z , (A1C. 4,08 - 837- 74(,3 ! co8 -837- /081 <br /> 06-^1.AJ I <br /> Address <br /> City j State I Zip Code <br /> /6.77 Al, a et sToc. srizerr Sunt/ Pz4I R tE 153 59 <br /> Ownership information(if different than Applieantl <br /> Name of Owner <br /> Phone Number ,Fax Number <br /> is <br /> `11.,6 / Kt t3 2L y V y 5E &08 - 213 - 08061 <br /> Address City I Stall `Zip Code <br /> /4/3 L E\�o,�1 D ZI V E i�41) e c;‘,1 �! ! 1 53 711 • <br /> Contact Information Of different than Applicants <br /> Name of Contact Phone Number Fax Number <br /> APPLIc,4til r — SEE ,4& Lit <br /> E-Mail Address • <br /> Additional Condominium Information <br /> Are there any conveyable limited common elements? <br /> Number of Units(as defined in 75.54,Dane County Ordinance) Is this condominium expandable? <br /> X <br /> / © I Yes �yY\' No <br /> A G <br /> Would you like separate tax bills set up for the individual units for the current tax year? <br /> Purpose(if amended or an addendum) <br /> _ Yes No <br /> O21C71� n <br /> 1r4L, c-oND 6M l Al I Gt M <br /> Please list any proposed private road names <br /> For Office Use Only <br /> --------------------------- <br /> File Number Fees Received $1000 maximum <br /> Staff Initials-Date <br />