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Rezone/C.U.P. Application Information (NUMBER ,Z <br /> 1 <br /> GENERAL INFORMATION PUBLIC HEARING DATE: D.E.D. <br /> 1 OWN ILLAGE,OR CIT/Y� COUNTY DANE <br /> L <br /> 2.THIS NOTICE IS FOR: <br /> ❑ REZONING CONDITIONAL USE/SPECIAL EXCEPTION <br /> 3.OWNERS NAME AT 13M 9F REZAIING I TELEPHONE <br /> OWNER ADDRE , l ( ' 1, <br /> AGENT I TELEPHONE <br /> AGENT ADDRESS <br /> 4. DESCRIPTION OF PTPERTY WHICH WAS GRANTED THE REZONING OR CONDITIONAL USE/SPECIAL EXCEPTION PERMIT <br /> i.�G �J <br /> 1/4 1/4 Sec. ••( j 'Sec. 2/ : I Town 3 f V, 'Range �.7 <br /> PARCEL NUMBER(S)BEFORE FIEZONING PREVIOUS ZONING DISTRICT I NEW ZONING DIS ICT <br /> C) z - - r - I . . / L) <br /> PARCEL ADDRESS <br /> INTENT/PURPOSE <br /> LAND AREA AND IMPROVEMENTS <br /> 5.TOTAL ACRES IN PARCEL BEFORE REZONING TOTAL ACRES IN PARCEL IN EXCLUSIVE AG.ZONE BEFORE <br /> REZONING <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 /> 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? Is the land within a sanitary district? <br /> ❑ YES ❑ NO ❑YES ❑ NO <br /> Is the land served by public water? Is the land within a planning transition area? <br /> ❑YES ❑ NO ❑YES ❑ NO <br /> If more than one lot was developed—number of lots: Average lot size: <br /> b. ❑Develop land for industrial use f. ❑ Farm consolidation <br /> c. ❑Develop land for commercial use g. ❑ 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(5/90) <br />