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DANE COUNTY <br /> • <br /> APPLICATION FOR A CONDITIONAL USE PERMIT No. '7o0 <br /> The undersigned hereby applies for a conditional use permit for a <br /> Limited family business in the A-1 Ex. Agriculture <br /> District as provided for in SS 10. 123(3)(f) of the Zoning Ordinance. The <br /> property is located at 8512 STH 19 in the Town of <br /> • <br /> Berry , more fully described as follows: <br /> • <br /> Pet. #4372/700: <br /> Part of the SE 1/4 SE 1/4 of Section 3, Town of Berry described as follows: <br /> Lot #1, CSM 4620 found in Volume 20 Page 168 of Certified Survey Maps, Dane <br /> County Register of Deeds Office. <br /> This description is intended to describe land for which a certified survey map <br /> will be prepared for approval and recorded. This amendment will become <br /> effective, if within 90 days of its approval by the Dane County Board of <br /> Supervisors a certified survey map that describes the land to be rezoned is <br /> recorded in the Office of the Dane County Register of Deeds. <br /> • <br /> Respectfully submitted on 14a3 by: fII r✓C7171 Owner 1�t-[ l a Name _. f_ � <br /> Name <br /> Street d%-t ,sr-F{ Street /7O9 // CL-6 ` 41 <br /> Post � <br /> ,,1 Post ti) <br /> Office C`�sS CAS Office Mad y, W sa <br /> Teter'hone 040 20 Zip s35 2,S Telephone 6O8 •27q{2.77s77.ip SJ7ft <br /> 545-59(11/79) 608. 27/ -70,33 •tvor <br />