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"1 I x;1'1Mt.N I G I / `t ►F7 <br /> DANE COUNTY' . <br /> APPLICATION FOR A CONDITIONAL USE PERMIT No. q0(0 <br /> The undersigned hereby applies for a conditional use permit for a <br /> Governmental use - mineral extrac io <br /> Hot mix asphalt plant itn the A-1 Ex. Agriculture <br /> District as provided for in ss 10.123(3)c,1 &• k- )Jane County Zoning Ordinance. <br /> property is located at 5643 STH 73 - in the Town of . <br /> Medina • more fully described as follows: <br /> • <br /> C.U.P. #906: <br /> the N 1/2 SE 1/4 and NE 1/4 SW 1/4 Section 16, Town of Medina. <br /> • <br /> • <br /> • <br /> • <br /> Respectfully submitted on 1 191 r by: <br /> Agent: Owner: ��J�/ �" q <br /> Name Name /"YLe0- <br /> 73 <br /> Street ..,-33 -_ — ii , _ / " -/ Street . j' ;. s3SS9 <br /> Post Post <br /> °ffic(' � � e,4' Office <br /> Telephone Fj4,e - 4r7.sS Zip .'153Z Telephone ‘5-S-13J2- '.ip <br /> 545-59(11/79) <br />