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Dane County Department of Planning & Development <br />Application for Determination of Parcel Status <br />Date: February 4, 2008 <br />Landowner information: <br />Name: Mount Vernon Hills, II, LLC c/o Dr. Louis H. Heitke <br />Address: 23 Cambridge Court City: City of Madison <br />Daytime phone: 257-0116 <br />Fax: 257-8901 E-mail: Lou Heitke (louiehank@sbcglobal.net) <br />Applicant information (if different from landowner): <br />Name: <br />Zip Code: 53704 <br />Price: $100 <br />(Effective: 1-1-08) <br />Address: City: Zip Code: <br />Daytime phone: <br />Fax: <br />Relationship to landowner: <br />E-mail: <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: no listed property addresses — copies of 2007 real estate property tax bills attached <br />Tax Parcel ID #: 054/1160_7_73.43-8061-1C07-343-2820-4/0607-343-2850 054/0607-3431', <br />(' 2620-6; 54/0607-343-1099-1 , 054/0607-343-8002-2 <br />Legal description of property: <br />1/4 of 1/4, Section 34 ,Town of Springdale 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: Copies of plat map, updated survey map and DCI map of parcel locations attached <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, the <br />applicant (if different from the landowner) and the town clerk. <br />S:\PlanDev\Zoning\ZLR\Forms, Applications & Informational Materials\Parcel status application.doc <br />