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v DANE COUNTY DEPARTMENT OF PLANNING AND DEVELOPMENT <br /> • ` ZONING DIVISION <br /> I FARM PLAN REVIEW APPLICATION FP - 9 <br /> APPLICANT t <br /> Name �i 6 f ■ CL 1 , 4- ..! L p G v e (,n,/ L. C. IN. <br /> Address I/ 2 i , 0 C /` ' / ' // le, 4 I <br /> D re c 6 �. 14 L ,6" 3 5 2 <br /> / �/ <br /> Phone sFo Q _ 30 _ 5-5- 7 2 <br /> Is the applicant the current owner of this property? Y / N <br /> If NO,who is the current owner of this property? <br /> PROPERTY LOCATION • <br /> To'ship(s) p Section(s) 1/4 1/4(s) Parcel Number(s) <br /> Vj- I 4 hcl 2-5 AFA,IC 65/0 - 2V- g)60 <br /> G1 ( QtAd 22 SE WE D5/( -- 21 - 2.10 <br /> ) ‘& 4- I 6' 0_1 Z5 51 A (737/) -2 /- ss'3 D <br /> k - 14 J 2 9 A i F SL7 6_57 62 - 2 2 - 1) <br /> Total acres in farm: 22- . 3 <br /> - / <br /> Signature of A lican 4,, ,ri,�. 4 Data --4—° g <br /> g PP �( C '"'' _, <br /> STATUS CHECKLIST: <br /> Paid Application Fee($165) --Receipt# (date) <br /> Obtained Dane County Land Conservation Approval (date) L'///5'g' <br /> Obtained Township(s) approval (date) 6 //? S <br /> Submitted Signed "Document of Understanding" (date) 5/ <br /> Submitted Expected Farm Operation Income Statement, <br /> including supporting documentation (date) <br /> Filed With Zoning Permit#ZP Issued (date) <br /> NOTE: Zoning Permit Number must be noted in Log Book. <br /> Zoning Administrator Review Completed: APPROVED / D I D <br /> r <br /> Signatur• of Zoning Administrato D. e <br /> Note: Applicants should expect a processing and review period of at least two weeks . <br /> after the full proposal,Land Conservation Commission approval and Town <br /> approval have been submitted to the Dane County Zoning Division. <br /> h:\zoning\frmpinap.doc(06/03/1998) <br />