Dane
County Planning and DevelopmentDane
County Planning and Development
Request to Restore Property
Owner Name to AccessDane Website
1.
Property Owner Names to be restored to Internet
display:
(Your property may be recorded
under different variations of your name.
It is important to note all owner names as they appear on the real
estate or conveyance document, for example John Smith, John R. Smith, John and
Jennifer Smith…)
Last Name (or Business Name) First Name Middle
Name
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
2.
Parcel Information:
(For verification purposes,
list all parcel numbers and parcel addresses you believe are affected by this
request.)
Parcel Number Parcel
Address (street address is
sufficient)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
3.
Date of Request:
______________________________________________
4.
Requestor:
______________________________________________ (signature)
______________________________________________ (please print name)
Complete this form, sign, and return to: Land Records Administrator
Dane County Planning and Development
210 Martin Luther King Jr. Blvd, Room 116
Madison WI 53703
or 608-267-1540(fax)