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DANE COUNTY ZONING DEPARTMENT <br /> ROOM 314, CITY-COUNTY BUILDING <br /> MADISON, wIB 53709 <br /> TO THE DANE COUNTY BOARD OF ADJUSTMENT: <br /> The undersigned hereby applies for a special exception permit to <br /> G J "7L 1 (� (‘ W C( I i �- - -�; (. -(2,? <t 574,,c. <br /> as required by /D,/.: of the Dane County Zoning Ordinajnce. <br /> - The applicant and riparian owner is iqct y Jl. J �. a I -z r iS :-{ . /Y ,��c :� <br /> mail address / . J� ' ) I <br /> U`'a o /� y r v) tc.��s.. 5 =t_: J <br /> -Description of land S e c; 5 \o a,?./ p • D,zi, <br /> Sh/% <br /> ✓Body of water v n Oa_rr/ e r c3_;rr r-,o &i"o,✓.D -A-x <br /> i..---Description of proposed work fi�< ;/ -/ cc, <br /> The purpose for which the proposed work is intended <br /> Special instructions to applicant permit granted subject to A.S.C.S. advice and <br /> required permits from D.N.R. <br /> Date /2 - /0 - <br /> Signat4r0 of applicant <br /> ++r,+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++f+r+fr�r++ + f+t+r+1 <br /> Action by the Board of Adjustment: <br /> Date of inspection Date of public hearing January 17, 1975 <br /> Decision of the Board of Adjustment Special Exception Permit granted <br /> Assistant Zoning Administrator <br />