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Dane County Rezone & Application Date Petition Number <br /> 07/21/2016 DCPREZ-2016-11034 <br /> Conditional Use Permit Public Hearing Date C.U.P.Number <br /> 09/27/2016 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> JANET L BERGE Code) WISCONSIN MAPPING LLC Code) <br /> (608) 764-5778 (608) 764-5602 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 961 NULAND RD 306 W QUARRY ST <br /> (City,State,Zip) (City,State,Zip) <br /> DEERFIELD, WI 53531 DEERFIELD, WI 53531 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> wimapping@charter.net <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 /> 961 NULAND ROAD 961 NULAND ROAD <br /> TOWNSHIP TOWNSHIP SECTION TOWNSHIP SECTION <br /> DEERFIELD 1SECTION <br /> 33 DEERFIELD 33 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <br /> 0712-333-8065-6 0712-333-8071-0 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> SEPARATING EXISTING RESIDENCE FROM <br /> FARMLAND <br /> FROM DISTRICT: TO DISTRICT; ACRES DANE COUNTY CODE OF ORDINANCE SECTION I ACRES <br /> A-1 Ex Exclusive Ag A-2 (2)Agriculture 2.8 <br /> District District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Owner or Agent) <br /> REQUIRED? <br /> ® Yes El No No ❑ Yes ® No ® Yes 1❑ No �-�7 <br /> Applicant Initials�..J Applicant Initials I Applicant Initial�.l SSA1 P_1 NAME: <br /> u,,esop <br /> DATE: <br /> 7/Z! / Z 01 <br /> CSM/DOC: 1/-{L{7 I/5-i I'7 q 4 Form Version 03.00.03 <br /> DEED RESTRICTION: 5 3 I` 7 cI <br /> DEED NOTICE: <br /> OTHER: <br />