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Rezone/C.U.P. Application Information 'NUMBER <br /> GENERAL INFORMATION PUBLIC HEARING DATE: D.E.D. <br /> r.TOWN,�jILLAGE,OR CITY COUNTY <br /> DANE <br /> 2.THIS NOTICE IS FOR: <br /> REZONING ❑ CONDITIONAL USE/SPECIAL EXCEPTION <br /> 3.OWNERS NAME AT TIME OF REZONING TELEPHONE <br /> . -C�tC- -- ( c;& ) 5'5 "4-\ <. <br /> OWNER ADDRESS v K( <br /> AGENT TELEPHONE <br /> ( <br /> AGENT ADDRESS <br /> 4. DESCRIPTION"OF PROPERTY WHICH WAS GRANTED THE REZONING OR CONDITIONAL USE/SPECIAL EXCEPTION PERMIT <br /> 1/4 1/4 Sec. �`4 VNI I Sec. - � Town 'Flange PARCEL NUMBER(S)BEFORE REZONING PREVIOUS ZONING <br /> ZONI� DISTRICT I NEWG DIS ICT <br /> — - A � <br /> PARCEL ADDRESS <br /> C I \ \ r-2=.- l 4 sal. <br /> INTENT/PURPOSE <br /> Val 1 <br /> LAND AREA AND IMPROVEMENTS • <br /> 5. TOTAL ACRES IN PARCEL BEFORE REZONING TOTAL ACRES IN PARCEL IN EXCLUSIVE AG.ZONE BEFORE <br /> 1 ` 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 /> Z <br /> b. How many acres were rezoned INTO exclusive agricultural district? <br /> c.Were there improvements on the original parcel? } <br /> �:J 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? a 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? NO Is the land within a planning transition area? <br /> ❑ ❑ <br /> YES YES E 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 /> 545-01(Sro0) <br />