Laserfiche WebLink
Dane County Department of Planning & Development <br />Application for Determination of Parcel Status <br />Ctrs <br />Date: ,v0/:;ff' <br />Landowner information: <br />Name: f S`"w1'75:4 <br />Address: / 8¢ 5�.�4Ati / 12D, City: Sf0u�A' 4" Zip Code: 5-3$J1•9 <br />Daytime phone: <br />Fax: E-mail: <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: / fcAA 4 4'- e-,4/ <br />Tax Parcel ID #: <br />al-description of property: 1/4 of CtiL' 1/4, Section , Town of t�(cq a i , - fii R <br />646% ii- 34/--o�- <br />Lot(s) <br />, 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 />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:\PlanDev\Zoning\ZLR\Forms, Applications & Informational Materials\Parcel status application.doc <br />