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Rezone/C.U.P. Application Information . NUMBER g <br /> GENERAL INFORMATION PUBLIC HEALN7;�' <br /> YC/y c D.E.D. G S <br /> .TOW• , VILLAGE,OR CITY / / <br /> 1 Ao r COUNTY DANE <br /> 2.THIS NOTICE IS FOR: <br /> 0 REZONING 7 ❑ CONDITIONAL USE/SPECIAL EXCEPTION <br /> ER'S NAME <br /> G r AT TIME F R,�,Z�tV f G S !- l�I^ r•• S , r ci Li.. (E f ( ) <br /> OWN AD g�SS l,,s r�/� ,/� / ` - , r� <br /> �(� � �' 1 1.� e f1c � 1 . l lJGF0res �1 WT 5- 3$ 3 A 7 .NTi � , <br /> 1 ` t4 soti S1 (A-rvey1` t, 5 L (EEaI) ZS _ s-2 <br /> _ AGEfV�AD R SS we S vvi <br /> a., c it r_ it I A/ <br /> 4.DESCRIPTION OF PROPERTY WHICH WAS GRANTED THE REZONING OR CONDITI NAL USE/SPECIAL EXCEPTION PERMIT - <br /> 1/4 1/4 Sec. S /��/'V l Sec, `".4 1 <br /> 0 I_Town / 'Range /Q <br /> PARCEL_NUMBER(S)BEFORE REZONING DISTRICT NEW ZON ISTRICT <br /> D7/0 - )03 - Y ?/0 - 0 !PREVIOUS,ZONING- lax t- 1 <br /> PA3EDDR�SS/ ' i f/ <br /> IN T/PURPOSE / Ti Q t) ,y- 4_ -I-e.- tr`C,5 (‘61 e 4...„ c,e___ a <br /> VC 4 L � , S e II k l j <br /> 1 / <br /> Gr ►� I o k2 ,' Lioi- S A - I Ex . 0d '^ , ► y 194_ 9-cc / <br /> LAND AREA AND IMPROVEMENTS <br /> 5.TOTAL ACRES IN PARCEL BEFORE REZONING 5, TOTAL ACRES IN PARCEL IN EXCLUSIVF„.AG.ZONE BEFORE <br /> Q REZONING .3 - 3 <br /> a.Of the original parcel,how many acres were rezoned OUT OF agricultural use or granted a non-Ag conditional use/special exception? <br /> 3 . 38 <br /> b.How many acres were rezoned INTO exclusive agricultural district? <br /> c.Were there improvements on the original parcel? (� <br /> ®YES ❑ NO <br /> d. What percentage of the improvements was rezoned or granted a conditional use/special exception? <br /> REZONE • <br /> 6. REASON FOR REZONING <br /> a. ❑ Develop land for non-Ag.residential use. <br /> How far is the land from a /' How far is the land from an ) <br /> city or village boundary? MILES existing residential area? MILES <br /> Is the land served by public sewer? LI YES a NO Is the land within a sanitary district? <br /> ❑YES a NO <br /> Is the land served by public water? Li YES NO Is the land within a planning transition area? <br /> YES ❑ NO <br /> If more than one lot was developed—number of lots: Average lot size: <br /> • <br /> b. ❑ Develop land for industrial use f. LI Farm consolidation <br /> c. ❑ Develop land for commercial use g. LI 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 /> 545-91(590) - <br />