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08/22/2007 00:18 608--267-1540 <br />DANE CO PLANNING DEV PAGE 04/05 <br />a <br />Dane County Department of Planning & Development <br />Application for Determination of Parcel Status <br />Date: %/' - .. O'9- <br />Landowner information: <br />Name: /2diet/ ES zi -ie <br />Address: P" '6 6i. -Po c//ryJCity: Lodi - Zip Code: .5-3 - s <br />Daytime phone: <br />Fax: - E-mail: <br />.�ahhc`.�3 <br />Applicant information (if different from landowner): 7 F'c ey�f (,ve j aflaw”- <br />Name:I-- <br />O', ,L.dt3(PI <br />Address: City: Zip Code: <br />Daytime.phone: g a 9: 3K8 <br />Fax:•E-mail: \-Frey C Ihol ries i cj n. C e vn <br />Relationship to landowner P R Its e s -Fu -Fe✓ (h e p lie :.v <br />Are you submitting this application as an authorized agent for the landowner? YesX No_ <br />Property information (be as specific as possible): <br />Property address: pa d le y Rd l Lod d , } W / <br />Tax Parcel JD #: \See c c Gte d C ll, rc e is. <br />Legal description of property: <br />1/4 of 1/4, Section , Town of <br />Lot(s) , Block \ _ , Plat of <br />Sketch map provided? Yes Jt No <br />Additional information (optional): <br />Name(s) of previous owner(s) (if known): <br />OR <br />comments: <br />kilOUt} tk- -4- I i c l_l , kG . • re, ko t l& <br />-i-es a' t F4 C dts gal i levy -exs S F&vun lAt,t z Cs- Sccvh� <br />In � ids C 2 Q c�r� s ' ilea & c ` Ca Lt 464,1, 1a .t ti�F; r%-i-- <br />c //�� o &f ueS1-iais , e--Ce`�-ero per Set{e r . Ce o1r'4 Li tf . a --lip l <br />important A) tire: A Dane County parcel status determination is preliminary in nature and <br />only determines if a parcel of land was created in accordance with 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 />misebaracterization of the information contained in the parcel status determination. <br />Please allow 3-6 weeks to process you request. A copy of the report will be mailed to the landowner, <br />the applicant (if different from the land weer) and the town clerk. <br />S:\PlanDev\Zoning\ZLR\Forms, Applications a 'Mown tional Materials\Parcel status application.doc <br />nd� <br />