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WITHDRAWN <br /> Dane County Rezone & Application Date Petition Number <br /> 04/21/2016 DCPREZ-2016-10999 <br /> Conditional Use Permit Public Hearing Date C.U.P.Number <br /> 06/28/2016 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> ACKMANN TR, MARINA T Code) BIRRENKOTT SURVEYING Code) <br /> (608) 880-3030 (608)837-7463 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 924 HILLSIDE RD PO BOX 237 <br /> (City,State,Zip) (City,State,Zip) <br /> EDGERTON, WI 53534 Sun Prairie, WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> marack1025 @gmail.com mpynnonen @birrerikottsurveying.com <br /> ADDRESS/LOCATION I 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 /> 924 Hillside Rd. <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> ALBION 14 <br /> s. i PARc ANUMOE S INy OLVED L�� } ''PAF COL NUMBERS INVOLVED` r ��PAFtCEL`Nl W RS�N IOLV U t'`, <br /> ��// r:c .f••/.,f.:M •..a=:-r..,,?.Y_.:... J.^.-:'. .r. ....,::G.-. z.�?�,s k�c^'Jt.:M,..1:t..-s.-rF'...fn'!�c-� d=nFC� 34. <br /> 0512-141-9500-2 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> SEPARATION OF RESIDENCE FROM BUILDINGS TO . <br /> HOUSE VETERINARY BUSINESS AND APPURTENANT <br /> SUPPORT FUNCATIONS <br /> u-fgOM DI :RJCTr ,0:azD f.TO DIS R 4T -+„'r`WR:10 ' ;DAN COUNTY CODE OF ORDi1SA CE SEC'11 N r ACRES`l <br /> A-1 Ex Exclusive Ag A-B Ag-Business unk <br /> District District /0.41 <br /> A-1 Ex Exclusive Ag A-2 Agriculture District 2-225 <br /> District 22,24 <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 Vaj/74,atf/-) <br /> �/7�/'/���J//J� ���p�/�,,/► SCW1 <br /> Applicant Initials Applicant Initlals�� ApplIcant Initials)►l PRINT NAME: <br /> Mark A tt/Aviahevt <br /> DATE: <br /> 4/2 t(20( <br /> Form Version 03.00.03 <br />