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( Application Date Preliminary Application Number <br /> Dane County Rezone & <br /> 8/4/09 RECU25596 <br /> Conditional Use Permit Application I Public Hearing Date Petition Number C.U.P. Number <br /> 10/27/2009 10098 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE with Area Code AGENT NAME PHONE with Area Code <br /> JASON MIKULA (608)837-9770 SAME AS OWNER <br /> (608)576-6566 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 2663 HAPPY VALLEY ROAD <br /> (City,State,Zip) (City,State,Zip) <br /> SUN PRAIRIE,WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> ADDRESS/LOCATION 1 I 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 /> 2663 HAPPY VALLEY ROAD <br /> TOWNSHIP SECTION TOWNSHIP <br /> SECTION TOWNSHIP SC:-;ON <br /> BRISTOL 29 ■ <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <br /> 091129180600 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> ZONING COMPLIANCE FOR STRUCTURES. <br /> 7/1/7/69 r FROM DISTRICT: TO DISTRICT: ACRES DANE COL Cif %".._.% f <br /> A-1 RH-1 2.01 <br /> r <br /> W71 ki I. <br /> I <br /> i)c____Z G — �{{JJl IIIJJJ <br /> C© `^—r <br /> C.S.M. REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S SIGNATURE: (Owner or Agent) <br /> REQUIRED? INITIALS <br /> _Yes CNo ❑Yes IgNo Des igNo <br /> pmk2 PRINT NAME: <br /> Apclicant Initials Applicant Initials Applicant Initials <br /> COMMENTS:ZONING COMPLIANCE FOR STRUCTURES. DATE: <br /> 545-113(4/06) <br />