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h <br /> Dane County Rezone & Application Date Petition Number <br /> Conditional Use Permit 03/19/2015 DCPREZ-2015-10845 <br /> Public Hearing Date C.U.P.Number <br /> 05/26/2015 <br /> OWNER INFORMATION AGENT INFORMATION • <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> HAGEMAN REV TR, JESSIMAE Code) EXETER DESIGN Code) <br /> (608)225-0389 (608) 712-1040 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 7698 STATE HIGHWAY 69 N8096 BUOL ROAD <br /> (City,State,Zip) )Pr-45.'172yr,q.q<%�-� (City,State,Zip) <br /> BELLEVILLE, WI 53508 Belleville, WI 53508 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> ii✓ <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 /> 7698 State Highway 69 <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> MONTROSE 31 <br /> PARCEL NUMB IN1 tV' EQe PARR s.` ER> INI/ YED !AR i f IMREltI 1I OLy(D k <br /> 0508-314-8050-9 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> SEPARATING EXISTING RESIDENCE FROM <br /> FARMLAND <br /> FROM DIISTRICTt ; TOQI$TRIFTt'' r 'ACRES- DANN COUNTY CODE OF ORDINANCe S CTION I ACRES <br /> A-1 Ex Exclusive Ag RH-1 Rural Homes t,/ <br /> District District l ' ` <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Owner or Agent) <br /> REQUIRED? <br /> ® Yes ❑ No ❑ Yes ® No ❑ Yes ® No <br /> )C,L._.__—z------------- <br /> .�!�_� / SCW1 <br /> Applicant Initials > Applicant Initials -61Z, Applicant Initials— PRINT NAME: <br /> d .____Q,d„,? <br /> cs A ( g Q 0 ■ DATE: <br /> c 3//c//5' <br /> 5 ` 0 Form Version 03.00.03 <br />