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N 0 V -NOV 30 '95 0 54 ADVANCED COMMUNhOIriA Of wins L I y p.7/5e . 02 <br /> 9 <br /> • Application <br /> for • <br /> Zoning Hearing <br /> 4a 0 Ins <br /> Dane County Zonin Variance, or Conditional Use # ;100 <br /> Sun Prairie Extraterritorial Zoning, Variance, Special <br /> Use, or Conditional Use • $250 <br /> • <br /> * Fee waived if combined with a paid Land Division Hearing Application. <br /> Applicants Name, Address, Daytime .Telephone 4 • <br /> Casey's General Stores, Inc. 515/965-6123 <br /> P.O. Box 3001, Ankeny, IA 50021-8045 <br /> Owners Name, Address, Daytime Telephone - <br /> M.H.F. , Inc. (Michael Fitzgerald, President) <br /> • <br /> P.O. Box 348, Janesville, WI 53547 608/754-6648 • <br /> Property Description �. ' <br /> Legal Description: Lots 1 & 2 of Certified Survey Map #5779, Dan q County, Wiscorsin• <br /> Total Acreage/Area; 29,221 SF <br /> • <br /> • <br /> Current Zoning District(s) R-3A <br /> • <br /> Proposed Zoning, Special or Conditional Use: C-1 • <br /> Proposed Variance: <br /> Proposed Zoning District(S) :_._,_. <br /> ATTACH SCALE MAP & WRITTEN JUSTIFICATION FOR REQUEST <br /> arease <br /> Certification <br /> I certify that I am the owner or'agent for the owner of the above describes property and <br /> that I will provide all information required by the Dane County or City of Sun Prairie <br /> Zoning Ordinances and the Town of Windsor Land Division and Subdivision Ordinance in <br /> effect at the time of this application. I have received a listing of the ormation <br /> required by these ordinances and acknowledge that failure to submit the information <br /> required by either Ordinance at the time of this application or to provide,; in a timely <br /> manner to permit for adequate review, other reasonable information as may by required !ey <br /> ---- result in my in the denial of this proposal. <br /> • <br /> Further, I agree to pay the costs of the Town Engineer, Town Attorney, Town, Planer and <br /> other reasonable costs incurred by the Town which the Town Board deems necessary to assure <br /> compliance with the requirements Town regulations. <br /> I also acknowledge that I will be required to pay certain fees and charges and to <br /> construct public facilities that are necessary and related to this development as 'a <br /> condition to final approval by the Town of Windsor. <br /> • <br /> Signat e Date : <br /> ; Z %%O <br /> Les Knust, Casey's General Stores, Inc. <br /> • <br /> • <br />