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Dane County Rezone & Application Date Petition Number <br /> Conditional Use Permit 03/27/2015 DCPCUP 2015 02313 <br /> Public Hearing Date C.U.P.Number <br /> 06/23/2015 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME • PHONE(with Area <br /> ROSIE ACRES LLC Code) ❑ Code) <br /> (608)225-9451 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 8614 BAKKEN RD ❑ <br /> (City,State,Zip) (City,State,Zip) <br /> MT HOREB, WI 53572 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> silvertreewi @gmail.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 /> 2701 Lunde Lane <br /> TOWNSHIP 'SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> SPRINGDALE 8 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <br /> 0607-084-9711-6 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> {�Ito IV rctp ky S h, o <br /> FROM DISTRICT: TO DISTRICT: ACRES DANE COUNTY CODE OF ORDINANCE SECTION , ACRES <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S SIGNATURE:(Owner or Agent) <br /> REQUIRED? INITIALS ////�/ <br /> E Yes liONo ❑ Yes No ❑ Yes No G�6'/� <br /> ./ j/�j� �/j�/ S C W 1 <br /> Applicant Initialt0 G Applicant Initials ice/ l Applicant Initial/ t PRINT NAME: <br /> �T 4 <br /> ///<Q 462-44,,4, <br /> DATE: <br /> Form Version 03.00.03 <br />