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Dane County Rezone & Application Date Petition Number <br /> 01/21/2016 DCPREZ-2016-10956 <br /> Conditional Use Permit Public Hearing Date C.U.P.Number <br /> 03/22/2016 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> MARK A STROHMENGER Code) BIRRENKOTT SURVEYING INC. Code) <br /> (608) 628-4655 (608) 837-7463 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 1785 STROHMENGER LN 1677 N BRISTOL ST. <br /> (City,State,Zip) (City,State,Zip) <br /> MARSHALL, WI 53559 Sun Priairie„ WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> mpynnonen @birrenkottsurveying.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 /> East&West of 1785 Strohmenger Ln 1785 Strohmenger Ln 1785 Strohmenger Ln <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> SUN PRAIRIE 1 SUN PRAIRIE 01 SUN PRAIRIE 01 <br /> PAR N1�MBERS t[dV E a x � .II Y' LIIP.O a !" t 44,00 „ s„ -a <br /> 0811-013-9500-3 0811-013-9001-7 0811-013-8000-0 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> SEPARATING EXISTING RESIDENCE FROM <br /> FARMLAND <br /> PRO t>STRICTi To>p tC�; 3 :; g -, DAN Lc,00 cOD ;OF ORD!N iCE CT!ON :- ,..14R F <br /> A-1 Ex Exclusive Ag A-2 (8)Agriculture 14.652 <br /> District District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Owner or Agent) <br /> REQUIRED? *4,/Yes ❑ No ❑ Yes ® No ❑ Yes ® No `I/'1/^/ SCW1 / <br /> Applicant Initials Y,` Applicant Initials 7t..-Applicant Initials)41 PRINT NAME: <br /> m4E144, - yAbvoil-&-ii <br /> DATE: <br /> / /2- / //6. <br /> CSM/DOC: 19 3�j�j/sa�n75%l <br /> DEED RESTRICTION: Form Version 03.00.03 <br /> DEED NOTICE: <br /> OTHER: <br />