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Dane County Rezone & Application Date Petition Number <br /> 06/25/2014 DCPREZ-2014-10744 <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 /> SHAMROCK FARMS Code) Code) <br /> (608) 575-4246 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 3593 COUNTY HIGHWAY P <br /> (City,State,Zip) (City,State,Zip) <br /> CROSS PLAINS, WI 53528 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <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 /> west of 4974 County Highway J west of 4974 County Highway J <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> CROSS PLAINS 31 CROSS PLAINS 30 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <br /> 0707-312-8501-0 0707-303-9001-0 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> SHIFTING OF PROPERTY LINES BETWEEN <br /> ADJACENT LAND OWNERS <br /> FROM DISTRICT: TO DISTRICT: ACRES DANE COUNTY CODE OF ORDINANCE SECTION I ACRES <br /> A-1 Ex Exclusive Ag RH-2 Rural Homes 2.0 <br /> District District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Owner or Agent) <br /> REQUIRED? <br /> Yes ❑ No ID Yes ® No El Yes ® No " ,'� <br /> SCW1 .r�_.,c_ <br /> Applicant Initials Applicant Initials Applicant Initials RINT NAME: <br /> DATE: <br /> z s 2-- /y <br /> Form Version 03.00.02 <br />