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Dane County Rezone & Application Date Petition Number <br /> 06/27/2016 DCPREZ-2016-11027 <br /> Conditional Use Permit Public Hearing Date C.U.P.Number <br /> 07/26/2016 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> JAMES M LUDOLPH Code) ORBITEC Code) <br /> (608) 229-2787 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 4710 CEDAR HILL LN (c.$ X6,c- -.22.17z_ <br /> (City,State,Zip) (City,State,Zip) <br /> BLACK EARTH, WI 53515 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> pignetp @orbitec.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 /> Northeast of 4710 Cedar Hill Lane <br /> TOWNSHIP TOWNSHIP SECTION TOWNSHIP SECTION <br /> VERMONT 1SECTION <br /> 5 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <br /> 0706-052-9300-0 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> AEROSPACE EXPERIMENTAL LABORATORIES- <br /> ROCKET/ PROPULSION SYSTEMS TESTING <br /> FROM DISTRICT: TO DISTRICT: ACRES DANE COUNTY CODE OF ORDINANCE SECTION 1 ACRES <br /> A-1 Ex Exclusive Ag C-2 Commercial 22 <br /> District District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Owner or Agent) <br /> REQUIRED? Vw}, . pV- ACIa-\ "� <br /> ❑ Yes ® No ❑ Yes ® No ❑ Yes 0 No Zou�>,b Gp0~� <br /> AMA1 V-0.N'+.N1e9 s! 1 G. <br /> Applicant Initials Applicant Initials Applicant Initials PRINT NAME: <br /> DATE: <br /> Form Version 03.00.03 <br />