Laserfiche WebLink
Dane County Department of Planning & Development <br />Application for Determination of Parcel Status <br />Date: 1)e..6--- D <br />LandownetrAt fomrpation: ,qn <br />Name: tkia i 1( Y "` tr�� tt <br />Address; Vtt(ii Lip Code: 33yf. <br />Daytime phone: <br />Fax: Email: <br />Applicant information (if different from landowner): <br />Name: -reen ar._s Zr.S,,L".i-i6'h ,,c. <br />Address: q40 Vci't r t. S lg.d City: 5 +"11.01/44e4-. Zip Code: 45.5 5.31 <br />Daytime phone: Coop 5 765 `" LAI-1 yy <br />Fax: E-mail: (e P-T.- w ,i*. •,. 4"1 ••• a 0 C . CC,----t <br />Relationship to landowner: ./ti'4 <br />Are you submitting this application as an authonzed agent for the landowner? Yes NO( <br />Property information (be as specific as possible): <br />Property address: f 7 �n <br />Tax Parcel ID #: ` LLQZ. \ <br />Lc_ •gal description of property: <br />/t/N 1/4 of 5 1/4, Section 1. , Town of A la►QtA, <br />Lot(s) <br />, Block Plat of <br />Sketch map provided? Yes /~ No <br />Additional information (optional): <br />Name(s) of previous owner(s) (if known): <br />Comments: <br />Important Notice: A Dane County parcel status determination is preliminary in nature and <br />only determines if a parcel of land was created in accordance wilh Dane County ordinance <br />provisions. Additional title history research conducted by a title company may be necessary to <br />verify parcel status. Dane County and its staff are not responsible for any misrepresentation or <br />ntischaracterization of the information contained in the parcel status determination. <br />Please allows 3-6 weeks to process your request. A copy of the report will be roiled to the landowner, <br />the applicant (if different from the landowner) and the town clerk. <br />S_;PeanDev Zonini ZLITForms, Applications 8 inlorrrn1 appiication.doc <br />