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Dane County Rezone & Application Date Petition Number <br /> 06/20/2016 DCPREZ-2016-10998 <br /> Conditional Use Permit Public Hearing Date C.U.P.Number <br /> 06/28/2016 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> WPD INVESTMENTS Code) WILLIAMSON SURVEYING Code) <br /> (608)255-5705 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 1045 Park Avenue 104A W MAIN ST. <br /> (City,State,Zip) (City,State,Zip) <br /> River Forest, IL 60305 Waunakee, WI 53597 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> chris @williamsonsurveying.com <br /> ADDRESS/LOCATION 1 ADDRESS/LOCATION 2 ADDRESS/LOCATION 3 <br /> ADDRESS OR LOCATION OF REZONE/CUP ADDRESS OR LOCATION OF REZONE/CUP ADDRESS OR LOCATION OF REZONE/CUP <br /> 8230 N Riley Rd <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> CROSS PLAINS I 35 <br /> 0707-354-9510-0 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> SEPARATING EXISTING RESIDENCE FROM <br /> FARMLAND <br /> A-1 Ex Exclusive Ag RH-2 Rural Homes 3.04 <br /> District District <br /> RH-1 Rural Homes RH-2 Rural Homes 2.01 <br /> District District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Owner or Agent) <br /> REQUIRED? <br /> Yes ❑ No ❑ Yes ® No ❑ Yes ® No <br /> WW1 <br /> Applicant Initials Applicant Initials Applicant Initials PRINT NAME: <br /> COMMENTS: OWNERSHIP REVISED. WAGNER SOLD LAND TO WPD ON <br /> MAY 27, 2016. <br /> DATE: <br /> CSM/DOC: I LI 33'0 $O$ <br /> DEED RESTRICTION: Form Version 03.00.03 <br /> DEED NOTICE: <br /> OTHER: <br />