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l/ 7 7 <br /> DANE COUNTY <br /> APPLICATION FOR CONDITIONAL USE PERMIT No. C,c/ <br /> The undersigned hereby applies for a conditional use permit for a <br /> an existing single family <br /> residence in the A-2 Agriculture <br /> District as provided for in ss 10. 126(2) (i) of the Dane County Zoning Ordinance. The <br /> property is located at 4617 Old Indian Trail in the Town of <br /> Vermont , more fully described as follows: <br /> - - Pet. #3875/551; <br /> Part of the E 1/2 SE 1/4 of Section 4 , Town of Vermont described as follows: <br /> Lot #1, CSM 4103 found in volume 17 page 146 of Certified Survey Maps , <br /> Register of Deeds Office. <br /> • <br /> Respectfully submitted on j — 4, 1 7 by: <br /> Agent: Owner: <br /> Name Name 104 /���a� <br /> JOAN S / 1 /'Sd id <br /> !eet Street ye/7 Oki .t-fr?ci/an r <br /> ,st Post <br /> Office Office I/ace &Cq'f-A <br /> Telephone Zip Telephone 7e7- 3ydg lip ,5357.3 <br /> 545-59(11/79) <br />