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<br />Dane County Rezone & <br />Conditional Use Permit Application <br /> <br />Application Date Preliminary Application Number <br />12/28/09 RECU25662 <br />Public Hearing Date Petition Number C.U.P. Number <br />02/23/2010 10159 <br /> <br />OWNER INFORMATION I AGENT INFORMATION <br /> <br />OWNER NAME <br />LUGINBUHL FARM LLC <br /> <br />PHONE with Area Code <br /> <br />(608 )845-6868 <br /> <br />AGENT NAME <br />SAME AS OWNER <br /> <br />PHONE with Area Code <br /> <br />BILLING ADDRESS (Number, Street) <br />2122 BRIDGE LN <br />(City. State, Zip) <br />VERONA, WI 53593 <br />E-MAIL ADDRESS <br /> <br />ADDRESS (Number, Street) <br /> <br />(City, State, Zip) <br /> <br />E-MAIL ADDRESS <br /> <br /> <br />2105 SUGAR RIVER RD. <br /> <br />TOWNSHIP <br /> <br />VERONA <br /> <br />SECTION <br />29 <br /> <br />TOWNSHIP <br /> <br />SECTION <br /> <br />TOWNSHIP <br /> <br />SECTION <br /> <br />060829280915 <br /> <br />REASON FOR REZONE CUP DESCRIPTION <br /> <br />SEPARATING RESIDENCE/BUILDINGS FROM THE FARM <br />AND TO SELL. <br /> <br /> <br />A-1 EX <br /> <br />A-2(4) <br /> <br />7.76 <br /> <br /> <br />INSPECTOR'S SIGNATURE: (Owner or Agent) <br />INITIALS <br /> <br />[{]ves []No <br /> <br />Oves DNa <br /> <br />[}es DNa <br /> <br />DJE1 <br /> <br />PRINT NAME: <br /> <br />Applicant Initials <br /> <br />Applicant Initials <br /> <br />Applicant Initials <br /> <br />COMMENTS: <br /> <br />DATE: <br /> <br />545-113 (4/06) <br />