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Dane County Rezone & _`Application Date Petition Number <br /> Conditional Use Permit 02/03/2016 DCPREZ-2015-10936 <br /> Public Hearing Date C.U.P.Number <br /> 02/23/2016 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> KIRKING SURVIVORS TR,JEAN B Code) WILLIAMSON SURVEYING Code) <br /> (734)769-3980 (608)255-5705 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 2659 SEQUOIA PKWY 104 A WEST MAIN STREET <br /> (City,State,Zip) (City,State,Zip) <br /> ANN ARBOR, MI 48103 WAUNAKEE,WI 53597 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> DKIRKING @UMISH.EDU <br /> ADDRESS/LOCATION 1 ADDRESS/LOCATION 2 ADDRESS/LOCATION 3 <br /> ADDRESS OR LOCATION OF REZONE/CUP ADDRESS OR LOCATION OF REZONE/CUP ADDRESS OR LOCATION OF REZONE/CUP <br /> 7501 STATE HWY 113 <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> DANE 10 <br /> 7,:; � i�64' <br /> P, .»:, <br /> 0908-104-9500-8 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> SEPARATING EXISTING RESIDENCE FROM <br /> FARMLAND <br /> A-1 Ex Exclusive Ag A-2 (2)Agriculture 3.18 <br /> District District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S SIGNATURE:(Owner or Agent) <br /> REQUIRED? INITIALS <br /> ® Yes ❑No ❑ Yes ® No ❑ Yes ® No <br /> SJW3 <br /> Applicant Initials Applicant Initials Applicant Initials PRINT NAME: <br /> COMMENTS: SEPARATE EXISTING BUILDINGS FROM AGRICULTURAL <br /> FARM LAND <br /> DATE: <br /> Form Version 03.00.03 <br /> CSM/DOC# I Va/5aa5C)GI q <br /> DEED RESTRICTION: <br /> DEED NOTICE: <br /> OTHER: <br />