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DANE COUNTY <br /> SPECIAL EXCEPTION PERMIT # <br /> 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 �O A 2) I \.cc-(c-k <br /> PROPERTY ADDRESS 1Jp� +�c E914-1-1 c <br /> TOWN o�S �� SECTION ( 1/4 1/4 lS Pcl #Colo- ' iC.3 180 <br /> SUBDIVISION CSM # LOT BLK <br /> BODY OF WATER �o< =,��•-`4 <br /> FLOOD ZONE WETLAND i PERMIT NUMBER/S <br /> PURPOSE FOR WHICH THE WORK IS INTENDED <br /> 1 1 <br /> OWNER: AGENT: <br /> k'Z-30 —.> -f <br /> .5'�r�8 •�-�-` � �N -ma( <br /> Phone Phone �cCa`O? - - <br /> Date t Z E/ e) <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 />