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DANE COUNTY <br /> SPECIAL EXCEPTION PERMIT # <br /> The undersigned hereby applies for a special exception permit as required by <br /> Section 11.05 (3) of the Dane County Code of Ordinances. <br /> PUBLIC HEARING DATE —'EC-- 1 -1 / 9 <br /> PROPERTY ADDRESS 4s <br /> TOWN fur-41-4 SECTION 5 1/4 1/4 /lE SE-E. Pcl # 0(;(0 .0S-14c621 <br /> SUBDIVISION CSM # LOT ; BLK <br /> BODY OF WATER L-A-v .E <br /> FLOOD ZONE ✓ WETLAND ' PERMIT NUMBER/S <br /> PURPOSE FOR WHICH THE WORK IS INTENDED <br /> OWNER: E J4:u' / - --c 15-5i-4 AGENT: <br /> xe//' - <br /> 3z <br /> Phone 8/c. -� t- J Phone <br /> Date !l <br /> +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ <br /> ACTION BY THE DANE COUNTY BOARD OF ADJUSTMENT <br /> GRANTED DENIED DATE <br /> 'wow <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 />