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-_ I DANE COUNTY <br /> !r <br /> I� <br /> SPECIAL EXC/,� 1 .I N PERMIT # z <br /> The undersigned hereby applies lies for a special exception permit as required by <br /> Section 11.05 (3) of the Dane County Code of Ordinances. <br /> PUBLIC HEARING DATE <br /> PROPERTY ADDRESS k4-l-I K(lv L 4l-C (=; x77-1- - -'tLam= oA` 17CD' )�) <br /> TOWN V_[S p•EZ SECTION l� 1/4 1/4 S\t4 S- Pcl ii <br /> SUBDIVISION `w. CSM /1 LOT BLK <br /> BODY OF WATER YK '� _ <br /> FLOOD ZONE t_ WETLAND N PERMIT NUMBER/S <br /> PURPOSE FOR WHICH THE WORK IS INTENDED <br /> 11■44-1 t�'� =milSlbt� <br /> a 01 c 14 <br /> V&A.'OWNER: � � �'� AGENT: 46, •P � 4 AP <br /> Phone - 4J v- Phone a 5� <br /> r <br /> Date V G CI'c— <br /> +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ <br /> ACTION BY THE DANE COUNTY BOARD OF ADJUSTMENT <br /> GRANTED DENIED DATE <br /> CONDITIONS OR SPECIAL INSTRUCTIONS ARE LISTED ON THE REVERSE SIDE OF THIS FORM <br /> PAGE (1) <br /> 545-33 (6/90) (21) SPEC EX PMT <br />