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SPECIAL EXCEPTION APPEAL <br /> DANE COUNTY BOARD OF ADJUSTMENT <br /> The undersigned hereby applies for a special exception permit to <br /> Construct a pond. <br /> as required by 11.05 (3) (a) of the Dane County Zoning Ordinance. <br /> The applicant and riparian owner is Edward Jelinek <br /> mail address R#1, 9399 Blackhawk Trail, Sauk City, WI 53583 <br /> Description of land Lots 17 & 18, Carleton's Woods - Blackhawk Highlands - <br /> Town of Roxbury - Section 18. <br /> Body of water Blum Creek <br /> The purpose for which the proposed work is intended <br /> To Construct a pond on the old stream meander. <br /> Ar <br /> Ile Date o2 , . . . <br /> Signet.' e of ap•-7 cant - agent <br /> +++++++ ++++++++++++++++++++++++++++++++ - +++++++++++++++ +++++++++++++++++++++ <br /> ACTION BY THE BOARD OF ADJUSTMENT: <br /> Date of Public Hearing May 24, 1984 <br /> PERMIT: Granted Y/ Denied Date <br /> SUBJECT TO THE FOLLOWING SPECIAL INSTRUCTIONS: <br /> 1) . Permit granted as per plans submitted. 2) . All spoils shall be spread and <br /> leveled. 3) . The filled and/or graded and disturbed areas shall be sodded or <br /> seeded with fast growing grasses and mulched to prevent siltation or erosion. <br /> 4) . The applicant shall request inspection by the Dane County Zoning Depart- <br /> ment upon completion of the project. • <br /> Appeal No.# 1262 Zoning Permit No.# Issued <br /> • <br /> Zoning Administrator <br />