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CUP # //V1 <br /> APPLICATION FOR A CONDITIONAL USE PERMIT <br /> DANE COUNTY, WISCONSIN <br /> TO: The Zoning and Natural Resources Committee <br /> Ladies and Gentlemen: <br /> The undersigned hereby applies for a Conditional Use Permit for the following <br /> described use: <br /> , ?(Cf2,44/a//r G` £In 7yy A75 <br /> Said use is provided for in Section # /0 , /3 (z) (Q )of the Dane County Code <br /> of Ordinances. <br /> The use will be implemented on the following listed property: <br /> PARCEL NUMBER/S 052(7- D�l'` 3-37.g - y <br /> PROPERTY ADDRESS 027 K/t V <br /> LOCATED IN THE (RAJ 1/4 1/6 1/4 of Section <br /> TOWN OF Zlci�(-- , Dane County, Wisconsin <br /> Respectfully submitted on c2K i'lP " ' 5/ 1q9 �/ <br /> AGENT: OWNER: <br /> p� I <br /> Name 'r Sc- A c r - z Name Dv <Y\ ► 1 ■ 11 A Tk <br /> ja ik �. . 4W), ll <br /> Street /57 H $-f 2-66‘, i / LU / 5-35-55— <br /> Post <br /> Office Po/ 11 C <br /> Telephone �35----7g1 2- Zip X 3 9.5-5— Telephone 5c1.2" 3 Fy 9' Zip 3-3 5 5 <br /> 5 � P 91 zc93 t.;1Z (9y <br /> 545-23(5/91) (11) CUP APPL <br />