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Wisconsin Department of Agriculture, <br /> NOTICE Trade & Consumer Protection <br /> OF Bureau of Land Resources <br /> REZONING OR CONDITIONAL USE/SPECIAL EXCEPTION 801 West Badger Rd., P.O. Box 8911 <br /> IN THE EXCLUSIVE AGRICULTURAL DISTRICT Madison, WI 53708 <br /> (Under the Farmland Preservation Law, Chapter 91, Wis. Stats.) <br /> PLEASE REFER TO INSTRUCT IONS AND FILL OUT ALL BLANKS. <br /> GENERAL INFORMATION <br /> 1. TO N, VILLAGE, ORR CITY COUNTY <br /> 2. THIS NOTICE IS FOR: REZONING I I CONDITIONAL USE/SPECIAL EXCEPTION <br /> 3. OWNER AT TIME —E �r` C-V ��-�� TELEPHONE <br /> OF REZONING—NAME\ \ �` <br /> ADDRESS <br /> 4.DD'ESSCRIP�1N OF THE P OPERTY WHICH WAS GRANTED THE REZONING CONDITIONAL USE/SPECIAL EXCEPTION PERMIT <br /> " /4 1//44 SSEC.L, �I SEC. I TOWN V ' I RANGE l a <br /> PARCEL NUMBER(S) BEFORE REZONING P VIOUS KONIN. DI TRICT NEW ZO 's 'ISTRICT /, <br /> —i`1 - 4z;4—0—a4 `Ic0_3 . t 7y \ -- ) , _ • J —' <br /> 6 <br /> LAND AREA AND IMPROVEMENTS ` ��•-• --.....1 <br /> 5. TOTAL ACRES IN PARCEL /�•� TOTAL ACRES IN PARCEL <br /> BEFORE REZONING 4 -( IN EXCLUSIVE AG.ZONE `� r <br /> `v BEFORE REZONING - <br /> a. Of the original parcel, how many acres were rezoned OUT OF agricultural use .� <br /> or granted a non-Ag conditional use/special exception? ; <br /> b. How many acres were rezoned INTO exclusive agricultural district? <br /> c. Were there improvements on the original parcel? I I YES Xr NO <br /> d. What percentage of the improvements was rezoned or granted a conditional use/special exception? 0 <br /> REZONING OUT OF AGRICULTURAL USE ONLY <br /> 6. REASON FOR REZONING OUT OF AGRICULTURAL USE (PLEASE CHECK) <br /> a. Develop land for non-Ag. residential use. <br /> How far is the land from a MILES } How far is the land from an MILES <br /> city or village boundary? existing residential area? Y° c <br /> Is the land served by public sewer? YES NO Is the land within a sanitary district? I I YES XN0 <br /> Is the land served by public water? I I YES NO Is the land within a planning transition area? KYES NO <br /> If more than one lot was developed: Number of lots •— Average lot size <br /> b I.r 1 Develop land for industrial use f I I Farm consolidation <br /> c. I I Develop land for commercial use g I I Residence for parent or child of farm operator <br /> d. r--1 Develop land for recreational use h [ 1 Other (please specify) <br /> e. I I Pre-existing use,substandard or nonconforming parcel I <br /> ARM-LR-31)Rev 12/86) 37V eq- E-` 17__ <br />