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Dane County Department of Planning & Development <br />Application for Determination of Parcel Status <br />Date: October 15, 2009 <br />Landowner information: <br />Name: LaVern Nelson <br />Receipt # /479'419 7 <br />Address: 4348 Hoepker Rd <br />City: Madison Zip Code: 53704 <br />Daytime phone: <br />Fax: n/a E-mail: n/a <br />Applicant information (if different from landowner): <br />Name: Fern F. Knepp <br />Address: 25 West Main Street, Suite 300 <br />Daytime phone: 608-257-2281 <br />City: Madison <br />Zip Code: WI <br />Fax: 608-257-7643 E-mail: fknepp@stroudlaw.com <br />Relationship to landowner: Attorney <br />Are you submitting this application as an authorized agent for the landowner? Yes X No <br />Property information (be as specific as possible): <br />Property address: 4348 Hoepker Road <br />Tax Parcel ID #: 014/0810-084-9160-2; 014/0810-084-9290-5 <br />Legal description of property: <br />SW 1/4 of SW 1/4, Section 8 , Town of Burke <br />OR <br />11.„„ <br />t" <br />Lot(s) , Block , Plat of OCT 1 5 2009 <br />Sketch map provided? Yes X No <br />Additional information (optional): <br />Name(s) of previous owner(s) (if known): Joseph A. Pagliaro and Patricia M. Pagliaro <br />DANE COUNTY PLANNING & DEVELOPMENT <br />Comments: This application is being submitted in connection with a Petition to Rezone the above described property. <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 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 niisrepresentation or <br />mischaracterization of the information contained in the parcel status determination. <br />Please allow 3-6 weeks to process your request. A copy of the report will be mailed to the landowner, <br />the applicant (if different from the landowner) and the town clerk. <br />S:\Web_Transfers\PlanDev\Parcel status application.doc Page 2 of 2 Revision 11.26.2007 <br />