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•Rezone/C.U.P. Application Information (NUMBEB <br /> PUBLIC HEARING DATE: D.E.D. <br /> • GENERAL INFORMATION <br /> .TOW V LLAGE,OR CITY COUNTY <br /> S,2✓ ∎r::-7 DANE <br /> 2.THIS NOTICE IS FOR: <br /> ❑ REZONING Q CONDITIONAL USE/SPECIAL EXCEPTION <br /> 3.OWNER'S NAME AT TIME OF REZONING TELEPHONE <br /> r .tom L.E,►�.M.�� ( ) <br /> OWNER DDRESS <br /> AGENT TELEPHONE <br /> AGENT ADDRESS\`.' <br /> 4. DESCRIPTION OF PROPERTY WHICH WAS GRANTED THE REZONING OR CONDITIONAL USE/SPECIAL EXCEPTION PERMIT <br /> 1/4 1/4 Sec —' I Sec. L5 [Town < p I Range ( * j. <br /> PARCEL NUMBER(S)BEFORE REZONING PREVIOUS ZONING DISTRICT NEW ZONING ISTRICT <br /> PARCEL ADDRESS <br /> INTENT/PURPOSE e <br /> LAND AREA AND IMPROVEMENTS <br /> 5.TOTAL ACRES IN PARCEL BEFORE REZONING TOTAL ACRES IN PARCEL IN EXCLUSIVE AG.ZONE BEFORE <br /> REZONING <br /> a.Of the original parcel,how many acres were rezoned OUT OF agricultural use or granted a non-Ag conditional use/special exception? <br /> b.How many acres were rezoned INTO exclusive agricultural district? <br /> c.Were there improvements on the original parcel? <br /> ❑YES ❑ NO <br /> d.What percentage of the improvements was rezoned or granted a conditional use/special exception? <br /> REZONE <br /> 6. REASON FOR REZONING <br /> a. ❑Develop land for non-Ag.residential use. <br /> How far is the land from a How far is the land from an <br /> city or village boundary? MILES existing residential area? MILES <br /> Is the land served by public sewer? ❑ YES ❑ NO Is the land within a sanitary district? <br /> ❑YES ❑ NO <br /> Is the land served by public water? Is the land within a planning transition area? <br /> ❑YES ❑ NO ❑YES ❑ NO <br /> If more than one lot was developed—number of lots: Average lot size: <br /> b. ❑Develop land for industrial use f. ❑ Farm consolidation <br /> c. ❑Develop land for commercial use g. ❑ Residence for parent or child of farm operator <br /> d. ❑Develop land for recreational use h. ❑ Other(please specify) <br /> e. ❑ Pre-existing use,substandard or nonconforming parcel <br /> 545-91(5/90) <br />