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DANE COUNTY ZONING DEPARTMENT <br /> ROOM 314, CITY-COUNTY BUILDING <br /> MADISON, WIS 53709 <br /> TO THE DANE COUNTY BOARD OF ADJUSTMENT: <br /> The undersigned hereby applies for a special exception permit to tcL:v;7?r.i <br /> PONAD W f Lee-44-a0 ADSAt. ,k, r T\� r t,Li6 A.t GJ NOS COCCI TI2.1&,.421 <br /> as required by Sec 10 \1 itD , 1/0 �706 f the Dane County Zoning Ordinance. <br /> The applicant and riparian owner is D4v,0 C.14-2(S T <br /> mail address 2OUTS # 1 eAf2-11 G WI C oIV SW g3�i S <br /> Description of land .%1 c SECforJ 8 TZ`WAi'Sfi1 P C r' 1,EVJA C�J <br /> i(-oFbs€n 51 re R)� Palo S;Ai 'v yw�5ikt a.c.� �SO en 4.4E5 wry i Sou ()Qt; A.orazcn, <br /> To smai,;_ -7721 g 42 <br /> Body of water <br /> Description of proposed work CCh:50a.(. k .047, POMU 3e r, r f0-tip w1 714 AU' <br /> hoTh• Of 1001 — t�I / Deep + (A„ 1+ 1TS C'tiCESr POW 7r <br /> C741.4..rar_1 <br /> e 2 1L� 6e( ICG , iAii11F A `f 'SPC <br /> The purpose for which the proposed work is intended WILt)i_ t E REFLtC- <br /> T <br /> Special instructions to applicant Proposed pond construction shall be subject to <br /> S.C.S. recommendations, <br /> Date CCI�e �2- �f 14 77 i Gi 1S i��� - f vtA. -14!A IAA) <br /> / <br /> Signature of applicant <br /> t+r+++++++++++++++++++++++++++++++++++++++++++++++++++++4++++++++f•+F+�ht3+f : fvr-+r+i <br /> Action by the Board of Adjustment: <br /> Date of inspection 11-9-74 Date of public hearing 11-15-74 <br /> Decision of the Board of Adjustment Special Exception Permit, granted <br /> Assistant Zoning Administrator <br /> Note: DNR #SD-120 <br />