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VARIANCE APPEAL NO. Public Hearing Date JS zoo o V <br />DANE COUNTY BOARD OF ADJUSTMENT Date of Application <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) 5f -re A-rr.Ac4-.S1:1. ( st-r-E Pte) <br />Address(es) <br />Phone Number(s) <br />Notes <br />p- Applicant (if different than above, describe relationship to property owner: <br />CIRCLE ONE: Contractor / Buyer / Family Member / Other <br />Nameo F u �►►,► <br />Address ut15C.,> C -rt -k b fel e- F-^rz+-a C-� 5 35'SS <br />Phone Number Z5� - L4Z1 4 ( Le <br />�T <br />Notes <br />Applicant Signature - 2� �- �='` Date } ; -1 <br />❑ Location of property which needs a variance <br />• Address % �H�o /q-3 zt /M& aAle - 9/2. <br />• Tax Parcel Number(s) IQ -L /3V 7j IZV-d <br />• Town Du tit" <br />S ` <br />Section(s) 7—cp '/<'/< (s) <br />��a?i�loi.(7�iG ELM <br />• Lot/Block/Subdivision Name or Lot/CSM No., if any 2-t . zco pL, Z? P., .3t A <br />• Zoning District(s) -,R - -�a. CIRCLE ALL THAT APPL ore and odpain etland <br />❑ Proposed development or improvement which needs a variance (e.g., new building, addition/alteration <br />to existing building, etc.) <br />VACA-t ohL 0 F tet= C�oi. i5H pt�.l,� <br />Zoning or Other Permits Issued, if any <br />Zoning Ordinance Sections which prohibit proposed development or improvement (numbers & text) <br />i Y.o3 S. t 1 <br />>.—z , ,,..i �-r,-� 5 ,-r�r Continue on back of sheet if necessary. <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 />J YkST V`%C, 1--1 oti`- C�K-kFb 02Anl L-CSC'S -JGS�tN%-e OVra G-tT <br />Township Letter of Pre -Approval or Notification Submitted Date of Correspondence: '7 <br />DECISION OF THE BOARD OF ADJUSTMENT ON REVERSE <br />&A?, o/- zze3 <br />