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<br />OWNER INFORMATION I AGENT INFORMATION <br /> <br />Application Date Preliminary Application Number <br />2/15/10 RECU25700 <br />Public Hearing Date Petition Number C.U.P. Number <br />05/11/2010 10195 <br /> <br />Jane County Rezone & <br />Conditional Use Permit Application <br /> <br />OWNER NAME PHONE with Area Code <br />NORWEGIAN LUTHERAN CHURCH (608)437-4553 <br /> <br />AGENT NAME <br />MARY PRICE <br /> <br />PHONE with Area Code <br /> <br />(608 )437 -4553 <br /> <br />BILLING ADDRESS (Number, Street) <br />1359 COUNTY HIGHWAY Z <br />(City, State, Zip) <br />MT HORES, WI 53572 <br />E-MAIL ADDRESS <br />MLPRICE@MHTC.NET <br /> <br />ADDRESS (Number, Street) <br />1004 STAT HIGHWAY 78 <br />(City, State, Zip) <br />MT HORES, WI 53572-3044 <br />E-MAIL ADDRESS <br /> <br /> <br />AT 1359 COUNTY HIGHWAY Z <br /> <br />AT 1359 COUNTY HIGHWAY Z <br /> <br />AT COUNTY HIGHWAY Z <br /> <br />TOWNSHIP <br /> <br />PERRY <br /> <br />SECTION <br />07 <br /> <br />TOWNSHIP <br /> <br />PERRY <br /> <br />SECTION <br />06 <br /> <br />TOWNSHIP <br /> <br />PERRY <br /> <br />SECTION <br />05 <br /> <br />050607180007 <br /> <br />050607184750 <br />050607180600 <br />050607180410 <br /> <br />050606498900 <br /> <br />050606392300 <br />050608286100 <br /> <br />050605392300 <br /> <br />REASON FOR REZONE CUP DESCRIPTION <br /> <br />CREATION OF HISTORIC DISTRICT FOR THE NORWEGIAN <br />LUTHERAN CHURCH <br /> <br /> <br />A-1EX <br /> <br />A-1 EX <br /> <br />34.02 <br /> <br />The undersigned, hereby acknowledges to Dane County Planning & Development that they will pay the modified DATCP <br /> <br /> <br />conversion fee in the amount of approximately $ , upon approval of the zoning map amendment. <br /> <br />INSPECTOR'S SIGNATURE: (Owner or Agent) <br />INITIALS <br /> <br /> <br />DYes ~ No <br /> <br />[] Yes IZI No <br /> <br />[J Yes EI No <br /> <br />SSA1 <br /> <br />PRINT NAME: <br /> <br />Applicant Initials <br /> <br />Applicant Initials <br /> <br />Applicant Initials <br /> <br />COMMENTS: REZONE INCLUDES SECTIONS 5, 6, 7,AND 8 <br /> <br />DATE: <br /> <br />545-113 (02110) <br />