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RECEIVED Dane County Department of Planning & Development Application for Determination of Parcel Status FEB 9 2010 d'claa Date: Z - ` ') BANE CCU„irf PLANNING & DEVELOPMENT Receipt # Lid./ Landowner information: Name: jNAARuS }4AR�G Address: $4t3r/S Ho /NI RD City: Sv4,,K CL- y Zip Code: 53513 Daytime phone: Fax: E-mail: Applicant information (if different from landowner): Name: \AI 1 LA_ arh50.,.1 Su R,f p,J 6., A.55C4 . L. c C rde 14 Address: A. /001/1.1 r City: ttj14,44,444,,f Zip Co1 e: S3s' 7 Daytime phone: Z 5-s-- 5 70 5-` Fax: S LI / E-mail: *.11 LLS v R Jr r-D s . N F i Relationship to landowner: Ar• Are you submitting this application as an authorized agent for the landowner? Yes ')C No Property informatiop(be as specific as possIible): Property address: S�1 APP �j 8 i 5� H tzi) u i3 ( Tax Parcel ID #: C3 107--o9'Z'$.So (- p°f0-J - orrZ - S'000 Legal description of property: t. E3 NW 1/4 of /Jt1/43 1/4, Section 1 , Town of Lot(s) , Block , Plat of Sketch map provided? Yes No Additional information (optional): Name(s) of previous owner(s) (if known): Comments: ?ss3oRNi OR Important Notice: A Dane County parcel status determination is preliminary in nature and only determines if a parcel of land was created in accordance with Dane County ordinance provisions. Additional title history research conducted by a title company may be necessary to verify parcel status. Dane County and its staff are not responsible for any misrepresentation or mischaracterization of the information contained in the parcel status determination. Please allow 3-6 weeks to process your request. A copy of the report will be mailed to the landowner, the applicant (if different from the landowner) and the town clerk. S:\Web_Transfers\PlanDev\Parcel status application.doc Page 2 of 2 Revision 11.26.2007