Laserfiche WebLink
Dane County Rezone & Application Date Petition Number <br /> 06/03/2016 DCPREZ-2016-11017 <br /> Conditional Use Permit Public Hearing Date C.U.P.Number <br /> 08/23/2016 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> ERIN B DAMMEN Code) Code) <br /> (608) 220-7235 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 5571 RALPH RD <br /> (City,State,Zip) (City,State,Zip) <br /> OREGON, WI 53575 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> erindammen @gmail.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 /> 5571 RALPH ROAD <br /> TOWNSHIP TOWNSHIP SECTION TOWNSHIP SECTION <br /> OREGON 1SECTION <br /> 16 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <br /> 0509-164-6258-3 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> ALLOW REDUCE SETBACK FOR PROPOSED <br /> ADDITION <br /> FROM DISTRICT: TO DISTRICT: ACRES DANE COUNTY CODE OF ORDINANCE SECTION ) ACRES <br /> R-1 Residence District R-3 Residence District .8 <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Owner or Agent) <br /> REQUIRED? <br /> ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No 11 <br /> �I p SSA1 <br /> Applicant Initial Applicant Initial Applicant Initials Pbef PRINT NAME: <br /> E Dawun <br /> DATE: <br /> 6 igfi <br /> Form Version 03.00.03 <br />