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Dane County Rezone & Application Date Petition Number <br /> 01/29/2016 DCPREZ-2015-10909 <br /> Conditional Use Permit Public Hearing Date C.U.P.Number <br /> 11/24/2015 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> BARBER'S BAY INC Code) BIRRENKOTT SURVEYING Code) <br /> 837-7463 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 1995 BARBER DR 1677 N. BRISTOL ST. <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON, WI 53589 Sun Prairie, WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <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 /> 1984 Barber Dr. 1984 Barber Dr. <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> DUNN 26 26 <br /> 0610-262-9860-3 0610-262-7209-6 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> CREATING 2 RESIDENTIAL LOTS <br /> TOOM/ i AC DmID E 011 1, PrOimis <br /> RE-1 Recreational R-3 Residence District 0.86 <br /> District <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 <br /> DJE1 <br /> Applicant Initials Applicant Initials Applicant Initials PRINT NAME: <br /> COMMENTS: PETITION REVISED 1/29/16. THREE LOTS WILL BE CREATED <br /> WITH TWO LOTS REZONED FOR HOME SITES. THE THIRD LOT WILL <br /> REMAIN RE-1 <br /> DATE: <br /> CSM/DOC#: I H 7 4/5a95oL D Form Version 03.00.03 <br /> DEED RESTRICTION: <br /> DEED NOTICE: <br /> OTHER: <br />