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<br />Dane County.Rezone & <br />Conditional. Use Permit Application <br /> <br />Application Date <br /> <br />Preliminary Application Number <br /> <br />Public Hearing Date <br /> <br />Petition Number <br /> <br />C.U.P. Number <br /> <br /> <br />oLtJ1if1 <br /> <br /> <br />AGENT NAME J <br />P e:TE1l-- :r-. fLI-1?fJ(;{/L/6h <br /> <br />PHONE with Area Code <br />f., O~ - 2fYi- <br />!#06 <br /> <br /> <br />PHONE with Area Code <br />'~f)8 - ~JS- - <br />3.571 <br /> <br />ADDRESS (Number, Street) <br /> <br />/ -:'-<7 C, 134-t S ('V ~ fL <br />,( 3~l.,- S3 9~5 <br /> <br /> <br /> <br />SECTION <br /> <br />TOWNSH IP <br /> <br />SECTION <br /> <br />~~~~~~~~M~gB.m~W~i!~~~~g ;;Jiliij~;~_'Q.~1NJJ>>[~~~~~1:~~~~~~"~ :~~~~~~~~~~.M~~~~~~If~5.:#f~~~~~ <br /> <br />]~~Or,.t)~:OR~R.EzONE:li.::^~_~.~~) i~J'2t~~)3~~'.~.'%'o\,,,::~: ..-: '.!=; ?~>~~~.~-::- ~~9cP-pESCRIP~ION '::'.~:::'~'. "::' ;:z;~~:. :::~,:~~,,'-":;:':;t:'~~: ,~~~~"'i;~~ -S--{: ~~ _-~~.:.T:;~ <br /> <br />A-I <br /> <br />]~~t~ir~~~f~~~~ ~~~~~~~: <br />If ' '3 <br /> <br />=~!g~j~~~~~~~~ <br /> <br />:~~L~~ ~~~P_~!:~1i~~f~~Sf <br /> <br /> <br />INSPECTOR'S <br />INITIALS <br /> <br /> <br />Applicant Initials <br /> <br />Applicant Initials <br /> <br />Applicant Initials <br /> <br />COMMENTS: <br /> <br />545-113 (4J06) <br />