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• <br /> DANE COUNTY <br /> APPLICATION FOR A CONDITIONAL USE PERMIT No.A; <br /> The undersigned hereby applies for a conditional use permit for a <br /> Dependency living <br /> arrangPmPnt in the R-1 RPsiriPntial <br /> District as provided for in ss 10.05(2) (vof the Zoning Ordinance. The <br /> property is located at across from 5652 Mary Lake Rd.in the Town of <br /> Westport , more fully described as follows: <br /> C.U.P. #816: <br /> Part of the SW 1/4 NE 1/4 & NW 1/4 SE 1/4 Section 21, Town of Westport <br /> described as follows: Lt t #2, Mary Lake Acres. <br /> Respectfully submitted on 3 19 72by: <br /> Agent: ) Owner: <br /> Name n /�}C]���� �. /v .L,.SG�ti Name F R f -ti k T1 13(} AID A <br /> Street 3-S-/e) R,o Street ,j 6 S R 1,64e �a�Q <br /> Post / Post <br /> Office -"1"2--7 G f ��j Gam/ Office & / <br /> Telephone 2 y y- _SG B Zip 537c) V Telephone 8 '?- 70,3 'ip 3 S 7 <br /> 545-59(11/79) <br />