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Application Date Preliminary Application Number <br /> Dane County Rezone & 2/1/10 RECU25692 <br /> Conditional Use Permit Application ( Public Hearing Date Petition Number C.U.P.Number <br /> 05/11/2010 10187 <br /> OWNER INFORMATION I AGENT INFORMATION <br /> OWNER NAME PHONE with Area Code AGENT NAME PHONE with Area Code <br /> CHRIS HARBORT (608)846-4628 SURVEYING <br /> (608)255-5705 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 3342 VINBURN RD 104 A.WEST MAIN STREET <br /> (City,State,Zip) (City,State,Zip) <br /> SUN PRAIRIE,WI 53590 WAUNAKEE,WI 53597-3597 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> WILLSURV @TDS.NET <br /> ADDRESS/LOCATION 1 ADDRESS/LOCATION 2 I ADDRESS/LOCATION 3 <br /> • • m ® 401-6C g `e a d ® a Y e` a 1®. "OFEZO'MCP <br /> AT 1917 SHERMAN AVE AT 1917 SHERMAN AVE <br /> TOWNSHIP •N TOWNSHIP SECTION TOWNSHIP SECTION <br /> MADISON 12 MADISON 12 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <br /> 070912197301 070912196704 <br /> 070912197105 <br /> 07091219680 Oh 0 <br /> 07091219660 <br /> 070912199309 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> ZONING COMPLIANCE FOR EXISTING PARCELS <br /> FROM DISTRICT: TO DISTRICT: ACRES ' DANE COUNTY CODE OF ORDINANCES SECTION ACRES <br /> C-1 R-4 .25 <br /> C-1 R-4 .0005 <br /> R-4 C-1 .02 <br /> C.S.M. REQUIRED? PLAT REQUIRED? DEEDREST, IOTION INSPECTOR'S SIGNATURE: (Owner or Agent) <br /> RtUIRE ? INITIALS <br /> ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> SSA1 PRINT NAME: <br /> Applicant Initials Applicant Initials Applicant Initials <br /> COMMENTS: DATE: <br /> 545-113(02/10) <br />