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Application Date Preliminary Application Number <br /> .Dane County Rezone& 3/17/11 RECU25834 <br /> Conditional Use Permit Application Public Hearing Date Petition Number C.U.P.Number <br /> 05/24/2011 10304 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE with Area Code AGENT NAME PHONE with Area Code <br /> LARRY NOTSTAD (608)764-5750 WISCONSIN MAPPING LLC <br /> (608)764-5602 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 1882 HUBRED LN 306 WEST QUARRY ST., <br /> (City.State.Zip) (City,State,Zip) <br /> DEERFIELD,WI 53531 DEERFIELD,WI 53531 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> ADDRESS/LOCATION 9 ADDRESS/LOCATION 2 I ADDRESSILOCATION 3 <br /> as. ,ADDRESS OR'LOCATION f:k L.•..,.. • ? ` ' .. <br /> 1882 HUBRED LANE <br /> TOWNSHIP SECTION TOWNSHIP (SECTION TOWNSHIP !SECTION <br /> COTTAGE GROVE 23 <br /> PARCEL UMBERS INVOLVED'Z• �. ,� ,�.; PI, ,CE).NUMQE,Q$INVOLyE s,x,s,iiekt10Et3NUMM 8ERS iN4ALVED <br /> 071123480610 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> CREATE LOT FOR RESIDENCE&CREATE LOT FOR <br /> OUTBUILDINGS FOR SALE <br /> ' •eFlI ISTRI 7L;..,,.. ,..;'TO DISTRIC1 S R rg ;:. NACRE$ };� 5bANEC9UNTY coos OFORDIIN RCE, ,ErS'>i*$I1' At:i;:ACRES4 <br /> A-1EX R-1 0.5809 <br /> A-1 EX A-4 23.9 <br /> The undersigned,hereby acknowledges to Dane County Planning&Development that they will pay the modified DATCP <br /> conversion fee in the amount of approximately$560.40,upon approval of the zoning map amendment. <br /> licS:MA'?IRe1itnREo'Ia # t ATRF ED9 .p Epbl t'OC'ON INSNITUITLS S SIGNATURE: (Owner or Agent) J� <br /> 0 Yes 0 0 Yes 0 D Yes 0 No Q_ <br /> RLB NAME: C3 _ C� <br /> Applicant Initia�I J Applicant Initials J Applicant Initial`rte <br /> Je ce my (k tesop <br /> • <br /> COMMENTS DATE: <br /> 371 11 <br /> 5 5-11310210) <br />