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DANE COUNTY <br /> APPLICATION FOR A CONDITIONAL USE PERMIT No. ;Fir <br /> The undersigned hereby applies for a conditional use permit for a <br /> Cable TV tower <br /> cite in the A-1 Agriculture <br /> District as provided for in ss 1n_17(3) (b)of the Zoning Ordinance. The <br /> property is located at 977 Ri11rrest Lane in the Town of <br /> Oregon , more fully described as follows: <br /> C.U.P. #815: <br /> Part of the NW 1/4 SE 1/4 Section 16, Town of Oregon described as follows: Ltt <br /> #1, CSM 3167 found in Volume 12, Page 223 of Certified Survey Maps Dane County <br /> Register of Deeds Office. <br /> C2C1Ct k(.4 -3S'OU <br /> Respectfully submit ed on /' 0 / L 1922P by: <br /> Agent: / - Owner: <br /> Name ( y �tita��C2S Name AC- A e- <br /> CCW7`t y 1`/ S,g —c- iz= 9 7 7 AZr X,`s-;-- /X) <br /> 'et �3-e)7 / rr C��-T��2 4/4• Street <br /> Post �cc� Post <br /> Office T� C 1 6t), c 3 s-2,0 Office (.C1 <br /> Telephone lo' 8?7-a.(76 Zip 5-3 Telephone t35- 30a0 Zip S 3575- <br /> 545-59(11/79) <br />