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<br />Dane County Rezone & <br />Conditional Use Permit Application <br /> <br />Application Date Preliminary Application Number <br />12/29/09 RECU25666 <br />Public Hearing Date Petition Number C.U.P. Number <br />03/23/2010 10163 <br /> <br />OWNER INFORMATION I AGENT INFORMATION <br /> <br />OWNER NAME PHONE with Area Code <br />WITTENWYLER LIVING TR, KENNETH D <br />& JOYCE E (608)437 -5803 <br /> <br />AGENT NAME <br />SAME AS OWNER <br /> <br />PHONE with Area Code <br /> <br />BilLING ADDRESS (Number, Street) <br />1766 COUNTY HIGHWAY JG-S <br />(City, State, Zip) <br />MT HOREB, WI 53572 <br />E-MAil ADDRESS <br /> <br />ADDRESS (Number, Street) <br /> <br />(City, State, Zip) <br /> <br />E-MAil ADDRESS <br /> <br /> <br />SAND W OF 1766 CTH JG <br /> <br />TOWNSHIP <br />BLUE MOUNDS <br /> <br />SECTION <br />36 <br /> <br />TOWNSHIP <br /> <br />SECTION <br /> <br />TOWNSHIP <br /> <br />SECTION <br /> <br />060636480001 <br /> <br />REASON FOR REZONE CUP DESCRIPTION <br /> <br />CREATE RESIDENTIAL LOT AND REZONE REMAINDER <br /> <br /> <br />A-1 EX <br />A-1 EX <br /> <br />RH-2 <br />A-4 <br /> <br />6.5 <br />8.5 <br /> <br /> <br />INSPECTOR'S SIGNATURE: (Owner or Agent) <br />INITIALS <br /> <br />[(}res DNo <br />Applicant Initials \) W <br /> <br />[)yes <br /> <br />[{]NO <br />r.j IvJ \ <br /> <br />[)yes [{]NO <br />Applicant Initials ~ vJ ' <br /> <br />RLB <br /> <br /> <br />Applicant Initials <br /> <br />COMMENTS: <br /> <br />545-113 (4/06) <br />