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Dane County Rezone & Application Date Petition Number <br /> 07/17/2014 DCPREZ-2014-10752 <br /> Conditional Use Permit Public Hearing Date C.U.P. Number <br /> 09/23/2014 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> STEVEN A SPONEM Code) EXETER DESIGN Code) <br /> (608) 576-3816ct- (608) 712-1040 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 1081 LAFOLLETTE RD N8096 BUOL RD <br /> (City,State,Zip) (City,State,Zip) <br /> MT HOREB, WI 53572 BELLEVILLE, WI 53508 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> SKDAIRY @HOTMAIL.COM EXETERDESIGN @YAHOO.COM <br /> ADDRESS/LOCATION 1 ADDRESS/LOCATION 2 ADDRESS/LOCATION 3 <br /> ADDRESS OR LOCATION OF REZONE/CUP ADDRESS OR LOCATION OF REZONE/CUP ADDRESS OR LOCATION OF REZONE/CUP <br /> PARCEL NORTH OF 1129 <br /> LAFOLLETTE RD <br /> TOWNSHIP TOWNSHIP SECTION TOWNSHIP SECTION <br /> PRIMROSE 1SECTION <br /> 7 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <br /> 0507-074-9500-5 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> CREATING TWO RESIDENTIAL LOTS <br /> FROM DISTRICT: TO DISTRICT: ACRES DANE COUNTY CODE OF ORDINANCE SECTION ( ACRES <br /> A-1 Ex Exclusive Ag A-2 (2) Agriculture 4.2 <br /> District District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Owner or Agent) <br /> REQUIRED? / <br /> ® Yes ❑ No ❑ Yes ® No ❑ Yes ® No <br /> /� SJW3 <br /> Applicant Initials -f/-�c-- Applicant Initials / Applicant Initials :4 PRINT NAME: <br /> COMMENTS: CREATE 2 LOTS EACH AT 2 ACRES IN SIZE FOR SON'S <br /> DATE: <br /> 7// <br /> Form Version 03.00.02 <br />