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<br />Dane County Rezone & <br />Conditional Use Permit Application <br /> <br />Application Date Preliminary Application Number <br />12/30/09 RECU25678 <br />Public Hearing Date Petition Number C.U.P. Number <br />0'3/23/2010 10175 <br /> <br />OWNER INFORMATION I AGENT INFORMATION <br /> <br />OWNER NAME <br />MILAN DOCKEN <br /> <br />PHONE with Area Code <br /> <br />(608 )845-8682 <br /> <br />AGENT NAME <br />THOM GRENLlE <br /> <br />PHONE with Area Code <br /> <br />(608 )845-6882 <br /> <br />BILLING ADDRESS (Number, Street) D <br />.18388 DOCI([t~ RD ( 0 8 LJ neo( n 1'\ cl. <br />(City, State, Zip) <br />MT HOREB, WI 53572 <br />E-MAIL ADDRESS <br /> <br />ADDRESS (Number, Street) <br />400 S NINE MOUND RD <br />(City, State, Zip) <br />VERONA, WI 53593-3593 <br />E-MAIL ADDRESS <br /> <br /> <br />SOUTH OF 10388 DOCKEN ROAD <br /> <br />TOWNSHIP <br /> <br />PERRY <br /> <br />SECTION <br />04 <br /> <br />TOWNSHIP <br /> <br />SECTION <br /> <br />TOWNSHIP <br /> <br />SECTION <br /> <br />050604485005 <br /> <br />REASON FOR REZONE CUP DESCRIPTION <br /> <br />CREATION OF TWO RESIDENTIAL LOTS <br /> <br /> <br /> <br />INSPECTOR'S SIGNATURE: (Owner or Agent) <br />INITIALS <br /> <br />[{]yes []No <br /> <br />[]ves [Z]Na <br /> <br />Ges DNa <br /> <br />SSA1 <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 />