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VARIANCE APPEAL NO.ZZ Public Hearing Aate (z-1i9(�Y <br />DANE COUNTY BOARD OF AD �NT Date of Application i tc IT <br />❑ Property Owner (as shown in tax roll, or note why there is a different owner- e.g., recorded land <br />transfer not yet shown in parcel book or computer record) <br />Name(s) 00C AQ -G A <br />Address(es) E:Ic, - S <br />bc- G I'. L�� ZvitG L�Icy; i �c�JZ� <br />Phone Number(s) , , w i 3 1 ✓ 6., 1 u <br />,CCS. ISL -/\<A <br />Notes 2- G u, - u S z- 7 4, - 3 <br />c z -t c <br />❑ Applicant (if different than above, describe relationship to property owner: <br />CIRCLE ONE: Contractor / Buyer / Family Member / Other <br />Name -TO of Z>. 9 ( <br />Address C--r4-i pAe T - <br />Phone Number SSS L i 2i 9 C ;z-)� L) <br />Notes <br />Applicant Signature Date <br />❑ Location of propertX which needs a variance <br />• Address cst---�> 2 0 0 :M t 2actc- e-11� J�-t�a-v- soti: <br />T>-ltj 2jk A A o o &2 c�G� F— C---( f=A0K. EXT-�c�;.`�Oti <br />• Tax ParcelNumber(s) �A c <. E d <br />• Town ��N ti <br />Section(s) Z t -P '/e '/a (s) ! S� <br />tj c <br />• Lot/Block/Subdivision Name or Lot/CSM No., if any s <br />• Zoning District(s) 2- CIRCLE ALL THAT APPLY: h relaid / lood_ plain / Vkqlwid- <br />❑ Proposed development or improvement which needs a variance (e.g., new building, addition/alteration <br />to existing building, etc.) <br />Zoning or Other Permits Issued, if any <br />❑ Zoning Ordinance Sections which prohibit proposed development or improvement (numbers & text) <br />0 DS ( ''1� ( -,Y L i K 4 A2 <br />1 1. C".; ( I ) Continue on back of sheet if necessary. <br />a <br />Legal Hardships: Unusual circumstances which constitute unnecessary or "legal" hardship. Use <br />Standards 1.- 8. on "Guidelines" sheet. Continue on back of sheet if necessary. <br />,e C -e <br />Date of Correspondence: <br />DECISION OF THE BOARD OF ADJUSTMENT ON REVERSE —71 <br />