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RECEIVED <br />Dane County Department of Planning & Development <br />Application for Determination of Parcel stat <br />2 <br />Zgr <br />Date: Ll. 30. and 7 <br />Landowne informatio <br />Name: 5t <br />DANE COUNTY PLANNING & DEVELOPMENT <br />Address: City::It7 0N1 Zip Code: 1/45'3S <br />Daytime phone: 419 f. 8'.3 {p . 138.1 <br />Fax: 461 53f,. V7410 E-mail: eSQ,n parr sr. &hot wa,r I . LOw! <br />Applicapd informat n (if ifferent from landowner): <br />Name: LWAJVA. �r.OW 'LSf)ri <br />Address: 2.4 WQ Pt r tA. qho r City: /AAf�SPn Zip Code: 5^,3 7/ g <br />Daytime phone: L l� . 4113. LI 404. <br />Fax: 4,, (r%8 . b . 0109 E-mail: o� C.cur is on a biRll''Il. '446 LD1►7 <br />Relationship to landowner: Nook,1 £s a 13/9r Are you submitting this application as an authorized agent for the landowner? Yes ✓ No <br />Property information (b as specific as possible): <br />Property address: f /A" <br />Tax Parcel ID #: c 3 �, © ct D '`313 " !3) o " ct <br />Legal description of property: <br />.SW 1/4 ofe51.4, 1/4, Section3L-94Town of MC4.2Dma, L OR <br />Lot(s) , Block , Plat of <br />Sketch map provided? Yes No <br />Additional information (optional): <br />Name(s) of previous owner(s) (if known): <br />Comments: 74-1 <br />,p egp..e/fikb b ; l d a,blt ? <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 misrepresentation 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:\PlanDev\Zoning\ZLR\Forms, Applications & Informational Materials\Parcel status application.doc <br />