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Dane County Department of Planning & Development RECEIVED <br />Application for Determination of Parcel Status <br />JUN 2 9 20Q7 <br />DANE COUNTY PLANNING & DEVELOPMENT <br />Date: / S Leo* <br />Y information: <br />Name: &.epr4G�Jey C 5radke <br />Address: C d eeZeiS eCI City: Zip Code: <br />Daytime phone: <br />Fax: E-mail: <br />Applica information (if different Iron) andowner): <br />Name: (,0� n )f on kl. -)1e �)^6 n (Troup <br />Address: ,?e o Pt a �'r e. 51- Je la, City. Qhi'`i-;"ed�f�Ge Zip Code: <br />Daytime phone: laC 2 „ la V k) —73 9 i3 <br />Fax: £cb'!v q3-T `1-9 E-mail: ec ►*lie_ (c2 bejFrnN5Yo Up• e c ►,-, <br />Relationship to landowner: fiea,frk v / <br />Are you submitting this application as an authorized agent for the landowner? Yes `V No_ <br />Property information (be as specific as possible): <br />Property address: I o / SS /4 iv y , m ado awl r e. 1.t-0 i S 3 S-4 <br />Tax Parcel ID #: c) 90 3 9k0b -3 <br />Legal description of property: <br />1/4 of 1/4, Section , Town of M 4 ZD a`1 r e <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: <br />aFar,e,ez-e) <br />• <br />mportant otice. 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 />