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Application Date C.U.P Number <br /> Dane County 04/23/2013 DCPCUP-2013-02241 <br /> Conditional Use Permit Public Hearing Date <br /> Application 07/23/2013 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME Phone with Area AGENT NAME Phone with Area Code <br /> CRAZY ACRES INC Code DIEHARD FITNESS LLC (608)295-6156 <br /> (608) 295-6156 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 775 HILLSIDE RD 811 HILLSIDE RD <br /> (City,State,Zip) (City,State,Zip) <br /> EDGERTON,WI 53534 EDGERTON,WI 53534 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> JDIEHARD1@GMAIL.COM <br /> ADDRESS/LOCATION 1 ADDRESS/LOCATION 2 ADDRESS/LOCATION 3 <br /> ADDRESS OR LOCATION OF CUP ADDRESS OR LOCATION OF CUP ADDRESS OR LOCATION OF CUP <br /> NORTH OF 811 HILLSIDE RD <br /> TOWNSHIP TOWNSHIP SECTION TOWNSHIP SECTION <br /> ALBION 1SECTION <br /> 14 <br /> PARCEL NUMBERS.4NVOLVED - PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <br /> 0512-144-9080-8 --- --- <br /> CUP DESCRIPTION <br /> LIMITED FAMILY BUSINESS WITHIN EXISTING STRUCTURES <br /> DANE COUNTY CODE OF ORDINANCE SECTION ACRES <br /> 10.123(3)(a)2. 7 <br /> DEED RESTRICTION Inspectors SIGNATURE:(Owner or Agent) <br /> REQUIRED? Initials (IL <br /> Yes No <br /> w HJH3 <br /> Applicant Initials PRINT AME: <br /> Kir Al c (,J (e-4.4J <br /> DATE: <br /> W2-1( <br /> Form Version 01.00.03 <br />