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Dane County Rezone & Application Date Petition Number <br /> 03/18/2015 DCPREZ-2015-10842 <br /> Conditional Use Permit Public Hearing Date C.U.P. Number <br /> 05/26/2015 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> EPIC SYSTEMS CORP Code) DONOFRIO KOTTKE AND Code) <br /> (608)271-9000 ASSOCIATES, INC. (608) 833-7530 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 1979 MILKY WAY 7530 WESTWARD WAY <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA, WI 53593 MADISON, WI 53717 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> STEVE @EPIC.COM NLOCKWOOD @DONOFRIO.CC <br /> ADDRESS/LOCATION 1 ADDRESS/LOCATION 2 ADDRESS/LOCATION 3 <br /> ADDRESS OR LOCATION OF REZONE/CUP ADDRESS OR LOCATION OF REZONE/CUP ADDRESS OR LOCATION OF REZONE/CUP <br /> 2645 COUNTRY VIEW RD <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> VERONA 17 <br /> PARCEL NUMB INVOLVED, ; ' PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <br /> 0608-172-8550-4 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> ZONING TO ALLOW EXISTING BUILDINGS TO BE <br /> USED AS MAINTENANCE SHOP <br /> FROM OISTRICTs ,; :TO DISTRICT:^4 ACRES DANE COUNTY COO*OF ORDINANCE SECTION I ACRES <br /> A-3 Agriculture District LC-1 Limited 5 <br /> Commercial Dist <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Owner or Agent) <br /> REQUIRED? <br /> Yes ❑ No ❑ Yes ® No El Yes ® No 1 <br /> HJH3 <br /> Applicant Initlal5��([ Applicant Initials Applicant Initials ap PRINT NAME: <br /> Qev;s.d►� �e o,�dtsce:fh. ,j GSA .fa 6e s.►6.44 )1 3 • /2f,J <br /> f 1'�0! fio 'W 1.C. . •,..I DATE: <br /> \ jjfteco,,,,v) <br /> /S Form Version 03.00.03 <br /> CSM/DOC#: N O 3 7/S 17529 <br /> DEED RESTRICTION: 5O3( 39 <br /> DEED NOT: <br /> OTHER: <br />