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Dane County Rezone & Application Date Petition Number <br /> Conditional Use Permit 03/17/2016 DCPREZ-2016-10987 <br /> Public Hearing Date C.U.P.Number <br /> 05/24/2016 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> TRACI J JONES Code) Code) <br /> (608) 222-8490 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 10804 KINGSLAND RD <br /> (City,State,Zip) (City,State,Zip) <br /> BLUE MOUNDS, WI 53517 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> GJONES @DAVEJONESINC.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 /> PARCEL SOUTH OF 10804 <br /> KINGSLAND <br /> TOWNSHIP SECTION TOWNSHIP TOWNSHIP SECTION <br /> BLUE MOUNDS 20 BLUE MOUNDS 1SECTION <br /> 20 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <br /> 0606-202-8020-0 0606-202-8141-0 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> SHIFTING OF PROPERTY LINES BETWEEN <br /> ADJACENT LAND OWNERS <br /> FROM DISTRICT: TO DISTRICT: ACRES DANE COUNTY CODE OP ORDINANCE SECTION 1 ACRES <br /> A-1 Ex Exclusive Ag RH-4 Rural Homes 7.5 <br /> District District <br /> RH-3 Rural Homes RH-4 Rural Homes 9.566 <br /> District District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Owner or Agent) <br /> REQUIRED?Yes El No ❑ Yes ® No ❑ Yes ® No fI4 4 Dhji. ) <br /> ��/ SJW3 <br /> Applicant Initials (/U!p- Applicant Initials Applicant Initials )0G__ PRINT NAME: <br /> COMMENTS: AMEND PROPERTIES /` <br /> M42/( 't-L. I y,) &IO,0 EpI <br /> DATE: <br /> CsM/Doc: y 3a5/5QC, 77�{ ��``i 17, Zol <br /> DEED RESTRICTION: <br /> Form Version 03.00.03 <br /> DEED NOTICE: <br /> OTHER: <br />