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Dane County Department of Planning & Development <br />Application for Determination of Parcel Status <br />co <br />DEC 1 8 2009 <br />Landowner information: DAh'tCOUtSS1' <br />?LAWNS &DE�tOPh"ANT <br />Name: MRR� Rh:n�r <br />Date: z//t / c <, <br />ceipt # <br />Address: 87R ( c r N . C, City: /\�ouyt Cl ore/ Zip Code: 5-3 s 7 z <br />Daytime phone: 0€322 v _ c,ct e 0 <br />Fax: <br />E-mail: Tarcrhiner@Monon0yP . cvM <br />Applicant information (if different from landowner): <br />Name: <br />Address: City: Zip Code: <br />Daytime phone: <br />Fax: E-mail: <br />Relationship to landowner: <br />Are you submitting this application as an authorized agent for the landowner? Yes No_ <br />Property information (be as specific as possible): <br />Property address: <br />Tax Parcel ID #: 0 y8/o 5 07 - 0 9 / -76-So - 6 <br />Legal description of property: <br />1/4 of 1/4, Section , Town of .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): LTane i ne r <br />Comments: <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:\Web Transfers\PlanDev\Parcel status application.doc Page 2 of 2 <br />Revision 11.26.2007 <br />