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/ <br /> NOTICE OF REZONING OR CONDITIONAL USEISPECIAL EXCEPTION Wisconsin Department of Agriculture <br /> IN THE EXCLUSIVE AGRICULTURAL DISTRICT Trade and Consumer Protection <br /> (Under the Farmland Preservation Law,Ch.91,Wis.Stets.) Bureau of Land and Water Resources <br /> 2811 Agriculture Drive, PO Box 8911 <br /> Please send us this form when rezones from or CUPs/SEPs in the Exclusive Agricultural District are approved. Madison,WI 53708-8911 <br /> Local Rezone#:,SUB' Application Date: /—`)- 0/ Public Hearing Date: 3-z-1 -0 I <br /> General Information Department# <br /> 1.Townll City of: $vN County: <br /> 2.This Notice is for: Rezoning [ 1 (From: elf I To: lh CUPISEP [ 1 Both [ 1 <br /> 3a.Owner's name at time of Rezoning: <br /> 1)o/J A/6--;6L-_, phone number.(gyp 5 --S <br /> i <br /> Address(city,state,zip code) / -9-5-17. /7 <br /> 3b.Person,business or government initiating rezone <br /> phone number.(_) <br /> -.Address(city, state,zip code) <br /> 3c.If the land is being annexed, Municipality: Contact: nhono f <br /> l4.Location of the Property granted rezone or CUPISEP <br /> 114 114 r Section Town Range 7: : <br /> 0Z N / 7�c w/ V <br /> Parcel Number(s)before rezoninglCUP(parcels involved) <br /> 039//- az,/- <br /> PWouioc zo,u) J6 co.s,P4/6-"J 4&) Kis%//JG L��OSG/{ WU& QvSivctJ <br /> 5.Land Area and Improvements <br /> Total Acreage:in farm before rezone: in parcel before rezone: 7 c = in Exclusive Ag. Dist. <br /> How many acres were rezoned out of exclusive agricultural district or granted CUP/SEP? <br /> Were there improvements on the original parcel? yes I no <br /> What percentage of the improvements were rezoned I granted a CUP/SEP? - <br /> 6.Conditional Use I Special Exceptions in Exclusive Agricultural District <br /> What is the type of CUPISEP? <br /> a.Agricultural(please specify use) d.governmental( = <br /> e:religious <br /> b.Agricultural-related(please specify use) f.utility( ) <br /> g.other(please specify use) <br /> c.Institutional( <br /> Please confirm that findings were made that CUPs/SEPs in the Exclusive Agricultural District are"consistent with agricultural use."They must <br /> meet all of the following conditions: <br /> [ I The activity will not convert land that has been devoted primarily to agricultural use. <br /> [ 1 The activity will not limit the surrounding land's potential for agricultural use. <br /> [ ) The activity will not conflict with agricultural operations on land subject to farmland preservation agreements. <br /> [ 1 The activity will not conflict with agricultural operations on other properties. <br /> If the land was not rezoned,please skip to Question 9 <br /> tk <br />