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Dane County Rezone & Application Date Petition Number <br /> 07/23/2015 DCPREZ-2015-10894 <br /> Conditional Use Permit Public Hearing Date C.U.P.Number <br /> 10/27/2015 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> MICHAEL J CAHILL Code) BIRRENKOTT SURVEYING Code) <br /> ((608) 837-7463 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 3100 BERGUM RD 1677 N. BRISTOL STREET <br /> (City,State,Zip) (City,State,Zip) <br /> MT HOREB, WI 53572 Sun Prairie, WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <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 /> 3100 Bergum Road South of Moen Creek <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> BLUE MOUNDS 2 vmrrD 35 <br /> 0606-021-8500-0 0706-354-9250-0 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> CREATING ONE RESIDENTIAL LOT <br /> ::::!*01001 .,i, o#. , y b)i q A CN 1` '.Doi l ? * F ACM: <br /> A-1 Ex Exclusive Ag A-2 (4)Agriculture 7.26 <br /> District District <br /> A-1 Ex Exclusive Ag A-4 Agriculture District 6.58 <br /> 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 ANN° <br /> RWL1 <br /> Applicant Initials Applicant Initials Applicant Initials PRINT NAME: <br /> tQc I- Oo.l( <br /> DATE: <br /> 7-723 / ZC)/ ..5"—" <br /> Form Version 03.00.03 <br />