Laserfiche WebLink
Dane County Rezone & Application Date Petition Number <br /> Conditional Use Permit 07/16/2015 DCPREZ-2015-10889 <br /> Public Nearing Date C.U.P.Number <br /> 09/29/2015 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> APRIL L MICKELSON Code) Code) <br /> (608)225-8955 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 593 COUNTY HIGHWAY A ❑ <br /> (City,State,Zip) (City,State,Zip) <br /> CAMBRIDGE,WI 53523 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> mickelsonapril @gmail.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 /> w of&593 County Highway A w of 593 County Highway A <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> ALBION 3 ALBION 03 <br /> ' idaxc4*O':._ <br /> 0512-031-8080-6 0512-031-8001-1 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> CREATING ONE RESIDENTIAL LOT <br /> ': .. ;041MI <br /> :ea_Aeexxa..,. -MOWS <br /> ; irfrvtarlial 71 <br /> A-1 Ex Exclusive Ag A-2 (4)Agriculture 0.81 <br /> District Distn <br /> C.S.M REQUIRED? PLAT REQUIRED?, DEED RESTRICTION INSPECTOR'S SIGNATURE:(Owner or Agent) <br /> REQUIRED? INITIALS <br /> ® Yes 9 No ❑ Yes ® No 9 Yes ® No 1 ; ��\n� <br /> A RLB 1 <br /> Applicant Initials��� Applicant Initials_ Applicant Initials PRINT NAME: <br /> p r,l . Y k -lsoi <br /> DATE: 1/6 <br /> CSM/DOC#: 1 yac(7 sa y tv4 I — 1 l a <br /> DEED RESTRICTION: <br /> Form Version 03.00.03 <br /> DEED NOTICE: <br /> OTHER: <br />