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i Dane County Department of Planning & Development Application for Determination of Parcel Status Date: I 1 /2%7 Landowner infor ation: Name: 13% L.L.. GH e2.yL Address: 113c ALRt T'.6. City: M4D t Sow Zip Code: 51 13 Daytime phone: Coo$ - 2 a Co - 1 Z31 Fax: Coa8 - Z 8 Co " O Co S3 E-mail: G1-1--esn o W l✓ yahoo • c o>M Applicant information (if different from landowner): Name: Address: City: Zip Code: Daytime phone: Fax: E-mail: Relationship to landowner: Are you submitting this application as an authorized agent for the landowner? Yes No Property information (be as specific as possible): Property address: 3511 EInGle Irt7oo b t Tax Parcel ID #: OZQ, 0Co10 2 2.. all 4c - 2. Legal description of property: NE 1/4 of NUJ 1/4, Section 23 , Town of _OV tJ+-) OR Lot(s) , Block , Plat of Sketch map provided? Yes X No Additional information (optional): Name(s) of previous owner(s) (if known): CoV•L1SS Ga4z_0Lrljt.1 Comments: GO 12-2-140.0 E2, l ST 1 t-' Si t-sCA 1.- ►-1 I LAD 14o E . HoMEr Gilt-+�[L 13�+¢.�&9 F3,.ty . t,. E vA-- W02kt ►->t,% w 1114 Got3 a_ {3v t'.,0 1--Ms St iJq t. raMt`-ID 1-1,7t--tom. 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:\PlanDev\Zoning\ZLR\Forms, Applications & Informational Materials\Parcel status application.doc