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Rezone/C.U.P. Application Information 1NUMBER <br /> GENERAL INFOH/Bf1Ai1ON PUBLIC HEARING DATE: D.E.D. <br /> 1.TOWN,VILLAGE,OR CITY !COUNTY <br /> ,-I DANE <br /> 2.THIS NOTICE IS FOR: � <br /> L:.i REZONING ❑ CONDITIONAL USE/SPECIAL EXCEPTION <br /> 3.OWNERS NAME AT TIME OF REZONING I TELEPHONE <br /> ( ) - = <br /> OWNER ADDRESS <br /> AGENT •I TELEPHONE _ <br /> t%-• j/ ' - _ - ( ) / --'G' \ <br /> AGENT ADDRESS <br /> 4.DESCRIPTION OF PROPERTY WHICH WAS GRANTED THE RE ZONING OR CONDITIONAL USE/SPECIAL EXCEPTION P=RMIT <br /> 1/4 1/4 Sec. ` _- _ 'Sec. _ I Town I 'Rance - -• <br /> PARCEL NUMBERS)BEFORE REZONING PREVIOUS ZONING DISTRICT I NEW ZONING DISTRICT <br /> _ - /.- t ' - <, <br /> PARCEL ADDRESS- <br /> INTENT I PURPOSE <br /> �`_'7_ • C `-'-. .._ <br /> LAND AHEI ANQ IMFHOI - - <br /> 5.TOTAL ACRES IN PARCEL BEFORE REZONING TOTAL ACRES G IN PARCEL IN EXCLUSIVE AG.ZONE BEFORE <br /> a.Of the original parcel,how many acres were rezoned OUT OF agricultural use or granted a non-Ag conditional uses:ecal exoepaon? <br /> b.How many acres were rezoned INTO exclusive agricultural district? <br /> c.Were there improvements on the original parcel? <br /> 0 YES 0 NO <br /> d.What percentage of the improvements was rezoned or granted a conditional use/spedal exception? <br /> :1710 • - . - _ . :. - <br /> 6. REASON FOR REZONING <br /> a. ❑ Develop land for non-Ag.residential use. <br /> How far is the land from a i, . , - _ > How far is the land from an 7 <br /> city or village boundary? ' //4;- MILES existing residential area? �— MILES <br /> Is the land served by public sewer? ❑ YES -NO I Is the land within a sanitary district? ❑YES CI-NO <br /> Is the land served by public water? ❑YES 0-NO (Is the land within a planning transition area? <br /> fl.YES ❑ NO <br /> If more than one lot was developed-number of lots: Average lot size: <br /> b. ❑ Develop land for industrial use f. 0 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 />