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. Dane County Rezone & Application Date Petition Number <br /> Conditional Use Permit 01/16/2015 DCPCUP-2015-02306 <br /> Public Hooting Date C.V.P.Number <br /> 03/24/2015 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(wilh Area AGENT NAME PHONE(with Aroo <br /> MATTHEW BALLWEG Code) 644$203 ❑ Code) <br /> BILLING ADDRESS(Number&SUeet) ADDRESS(Number&Street) ' <br /> 8162 BALLWEG RD 13 <br /> (City,State.ZIP) (City,Stale,Zip) <br /> DANE, WI 53529 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> ADDRESS/LOCATION 'I ADDRESS/LOCATION 2 ADDRESS/LOCATION 3 <br /> ADDRESS OR LOCATION OF REZONE/CUP ADDRESS OR LOCATION OP REZONE/CUP ADDRESS OR LOCATION OF REZONE/CUP <br /> 8053 Baliweg Road <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> ROXBURY 25 <br /> - <br /> AK <br /> V <br /> L'° .IN. .O 11ED:: - <br /> lJ Rs 'ubl <br /> A1f�d. Ide� �V - - -- ��� <br /> .. .� R �. ._..:. �2P11 li�`IN tom: �s'�...y <br /> ..Z: . .... - 13� bw='N. K�1-. - - - 1::t�tJ.IIA. M 9ix1/ <br /> 0907-254-8500-1 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> J o iih■.cs uni+5 <br /> (11,4'ri c4t.f r> vAcitt•an,tit+ ro1 aik <br /> :;:;::...::.#04:0 ,RN;r,. a ?•;•• ;:T :DL87R[ s 4 a e c'ou CT <br /> :...._..................,,4T.... _ .,._�..n ,.._.:_: '' 4........_...-_�.. .- :..fr!4�.. _ p4►�V_. ......-N'II'X,�9D.COR'QAq;INAN 1�... ioK.'.'�-'',-:i ::ACki <br /> C•S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Owner or Agent) <br /> REQUIRED? <br /> 'g1 Yes ❑No ❑ Yes . No s' fes ❑ No <br /> ``,,'/7� SCW1 � g <br /> �ApplicamtlnIhI&I ApplleanttnHiala M1 Apptkantlnitlel ,- PRINT NAME: <br /> lilt irkff T3 AILA — <br /> DATE: <br /> Form Verelon 03.00.02 <br /> • <br />