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Rezone/C.U.P. Application Information 1NUMBER _ - <br /> PUBLIC HEARING DATE: D.E.D. <br /> GENERAL INFORMATION =- _ ■/ - <br /> 1.TOWN, VILLAGE,OR CITY I COUNTY DANE <br /> 2.THIS NOTICE IS FOR: <br /> REZONING CONDITIONAL USE/SPECIAL EXCEPTION <br /> 3.OWNER'S NAME AT TIME OF REZONING TELEPHONE <br /> OWNER ADDRESS <br /> AGENT TELEPHONE <br /> ( ) -- - `- <br /> J _ <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. _ `> I Sec. !Town • --• I Rance ' - <br /> PARCEL NUMBER(S)BEFORE REZONING PREVIOUS ZONING DISTRICT NEW ZONING DISTRICT <br /> 1•� _ - _ _ i _ <br /> PARCEL ADDRESS <br /> 1 !_r( . <br /> INTENT/PURPOSE �= <br /> LAND AREA AND IMPROVEMENTS • <br /> 5.TOTAL ACRES IN PARCEL BEFORE REZONING TOTAL ACRES IN PARCEL IN EXCLUSIVE AG. ZONE BEFORE <br /> REZONING <br /> a.Of the original parcel,how many acres were rezoned OUT OF agnctulturai use or granted a ncn-Ag conditional use!speciat exception? <br /> b. How many acres were rezoned INTO exdusive agricultural distract? <br /> c.Were there improvements on the onginal parcel? <br /> ❑ YES ❑ NO <br /> d. What percentage of the improvements was rezoned or granted a conditional use/special exception? <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 1 <br /> city or village boundary? L�'' // %I MILES existing residential area? , 7 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? ❑YES ❑-NO Is the land within a planning transition area? <br /> -YES ❑ 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 (piease specify) <br /> e. ❑ Pre-existing use, substandard or nonconforming parcel <br /> S4S-Q1(S'90) <br />