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4' 1e -K, c ' ro ' <br /> Dane County Rezone Application Data Petition Number <br /> 12/09/2015 DCPREZ-2015-10936 <br /> Conditional Use Permit 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 SURVIVOR'S TR, JEAN B <br /> Code) <br /> (734) 769-3980 AYtr1 O SA- 8104 -5/ /0 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 2659 SEQUOIA PKWY 1I 8O ho. t CIA k W <br /> (City,State,Zip) (City,State,Zip) <br /> ANN ARBOR, MI 48103 -76E .x--\-h ,, 's�lc-. /M <br /> E-MAIL ADDRESS Lh . d ' 1 E-MAIL ADDRESS ?A)g.7 q <br /> DKIRKING Li_ ,Os+J Q.ge_OMCrks+. n c4 <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 TOWNSHIP TOWNSHIP SECTION <br /> DANE 'SECTION <br /> 10 1SECTION <br /> PAR L NUMBERS IINVOLV•ED PARCEL NUMBERS INVOLVED , `I USMER*INVOLVED <br /> 0908-104-9500-8 <br /> ♦N O <br /> REASON FOR REZONE C . DESCRIPTION <br /> SEPARATING EXISTING RESIDENCE FROM P <br /> FARMLAND fte‘i I . <br /> li <br /> Fibril D TRICTp `.,4 TO DISTRICT; ;ACRES DAN COUNTY Di OF ORDINANCE:SECTION I ACRES <br /> A-1 Ex Exclusive Ag RH-1 Rural Homes 3.18 <br /> District District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Owner or Agent) <br /> REQUIRED? <br /> ® Yes ❑ No ❑ Yes ® No ❑ Yes ® No 4� <br /> SJW3 <br /> Applicant Initials CA Applicant Initials (4 Applicant Initials(� PRINT NAME: <br /> COMMENTS: SEPARATE EXISTING BUILDINGS FROM AGRICULTURAL ,� /- <br /> C� <br /> FARM LAND (t 5' <br /> / <br /> DATE: <br /> /0) do /� <br /> Form Version 03.00.03 <br />