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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 @gmaiI.com mpynnonen @birrenkottsurveying.com <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 /> 924 Hillside Rd. <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> ALBION 14 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <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 /> FROM DISTRICT: TO DISTRICT: ACRES DANE COUNTY.CODE OP ORDINANCE SECTION "1 ACRES <br /> A-1 Ex Exclusive Ag A-B Ag-Business 10.84 <br /> District District <br /> A-1 Ex Exclusive Ag A-2 Agriculture District 22.26 <br /> District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Owner or Agent) <br /> REQUIRED? r <br /> ® Yes ❑ No ❑ Yes ® No ❑ Yes ® No <br /> )/efd, ji. ttat-11") <br /> A 1/�/ SCW1 <br /> Applicant Initials/(? . Applicant Initials( Applicant Initials nit PRINT NAME: <br /> Ma a r1& /t Tyn N 0v►t°vi. <br /> DATE: <br /> sE 77 4/2 I /2o/& <br /> Form Version 03.00.03 <br /> R Ey , fi„ x _alio I., <br />