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Dane County Department of Planning & Development Application for Determination of Parcel Status Date: 7/2-4/ 2-o O5. Receipt # Landowner information: Name: 13g.t er 3 � tv`..P RT-t Address: 933(f S. 3o12.of tJ E City: rncF,-N- 11-1..J Zip Code: 53S55. Daytime phone: Fax: NA tool• 29j. o1-72- E-mail: c,o00W Go @U-(°rf-►fin- •NET C3,“?.1,2 . e Ages II— I3XG. cool Applicant information (if different from landowner): Name: UDvr\- soE516N (Awn PAAP-1 Address: 2 b 31 LLN t v eles tT4 Avlr- City: Daytime phone: (G O $ . 2 3'S. I 44- Q) O (M rt-2 K u t) v A-R I • souk) E1- Zip Code: 5 3 -t v 5 Fax: (o o S. 2 3 3. 14 0 3. E-mail: TN r o e u u v Fl- re t- se N.. Co rv\ Relationship to landowner: Rome- D Es t Are you submitting this application as an authorized agent for the landowner? Yes )". No t Property information (be as specific as possible): Property address: Li"33b S. Sore. .DAN DKIV5 fY\C.F ZL►i-tv2)t wt S3SS-8' Tax Parcel ID #: b 2 8 (d (01 o OgLf - 53 910- D Legal description of property: 1/4 of 1/4, Section , Town of OR Lot(s) 3(0 , Block 1- , Plat of eRIc-T50PPE k DuN1\1 Sketch map provided? Yes No Additional information (optional): Name(s) of previous owner(s) (if known): Comments: JED AUG 1 8 2008 DA1IEII Pl i,►"iht?.G I* 4EY+ cplENT 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:\Web_Transfers\PlanDev\Parcel status application.doc Page 2 of 2 Revision 11.26.2007