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<br />Dane County Rezone & <br />Conditional Use Permit Application <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 />OWNER INFORMATION I AGENT INFORMATION <br /> <br />OWNER NAME PHONE with Area Code <br />NORWEGIAN LUTHE~~HURCH (608)437-4553 <br /> <br />..,. tJ W 0 F ~ Il.lES6lf.tI ~T'~ ASSN. <br />BILLING ADDRESS (Numbe ,Street) <br />NOT PROVIDED <br />(City, State, lip) <br />NOT PROVIDED, <br />E-MAIL ADDRESS <br />MLPRICE@MHTC.NET <br /> <br />AGENT NAME <br />MARY PRICE <br /> <br />PHONE with Area Code <br /> <br />(608)437-4553 <br /> <br />ADDRESS (Number, Street) <br />1004 STAT HIGHWAY 78 <br />(City, State, lip) <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 />050607184750 <br />050607180600 <br />05060710008410 <br /> <br />050606498900 <br />050606392300 <br />050608286100 <br /> <br />050605392300 <br /> <br />REASON FOR REZONE CUP DESCRIPTION <br /> <br />CREATE HISTORIC DISTRICT FOR THE NORWEGIAN <br />LUTHERAN CHURCH <br /> <br /> <br />A-1 EX <br /> <br />A-1 EX <br /> <br />34.02 <br /> <br /> <br />The undersigned, hereby acknowledges to Dane County Planning & Development that they will pay the modified DATCP <br /> <br />, upon approval of the zoning map amendment. <br />INSPECTOR'S SIGNATURE: (Owner or Agent) <br />INITIALS <br /> <br />DYes [2l No <br />Applicant Initia~ <br /> <br />IJ Yes <br /> <br />0No <br /> <br />[J Yes [2l No <br />Applicant Initia~ <br /> <br />SSA1 <br /> <br /> <br />~. <br /> <br />Applicant Ini~ <br /> <br />PRINT NAME: <br /> <br />/'1/J~ <br /> <br />'TR-/C& <br /> <br />COMMENTS: <br /> <br />DATE: <br /> <br />3 ~ /1 () <br /> <br />545-113 (0211 0) <br />