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Dane County Rezone & Application Date Petition Number <br /> 02/18/2015 DCPREZ-2015-10831 <br /> Conditional Use Permit Public Hearing Date C.U.P.Number <br /> 04/28/2015 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> SCOTT LEE Code) ❑ Code) <br /> (608) 712-0589 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 508 Lavern Ridge ❑ <br /> (City,State,Zip) (City,State,Zip) <br /> Mt Horeb, 53572 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> scottylee84 @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 /> 9421 Union Valley Rd <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> CROSS PLAINS 7 <br /> ** ►CAL,L..NUM$ c .. 9* _ tR`f. R > II L� A, .F PART L> M R$INYOI VED <br /> 0707-073-8500-4 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> CREATING ONE RESIDENTIAL LOT <br /> Atom RIi TaR1 Ts DI>lrTligt:Ta - � •. COUt{TY CODL'vQE O DI NCRr� N `/ICRI :- <br /> A-1 Ex Exclusive Ag RH-2 Rural Homes <br /> District District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Owner or Agent) <br /> REQUIRED? <br /> Yes El No ❑ Yes ® No ❑ Yes ❑ No i <br /> SSA1 <br /> S <br /> Applicant Initials -- Applicant Initials � Applicant Initials 5- PRINT NAME: <br /> Scar <br /> CSM/DOC#: 51'3 6 5 7 3 DATE: <br /> DEED REST: <br /> DEED NOT: -/8--/S <br /> OTHER: Form Version 03.00.02 <br />