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DANE COUNTY <br /> • <br /> APPLICATION FOR A CONDITIONAL USE PERMIT No. .(?y <br /> The undersigned hereby applies for a conditional use permit for a <br /> Religious use- church in the RH-2 Rural Homes <br /> District as provided for in SS 10.091(2) of the Dane Co. Zoning Ordinance. The <br /> property is located at 5757 Emerald Grove Lane in the Town of <br /> Westport , more fully described as follows: <br /> C.U.P. #879: <br /> The East 380.5 feet of Lot #3, CSM 5511 found in Volume 25 Page 120 of <br /> Certified Survey Maps Dane County Register of Deeds Office. <br /> This description is intended to describe land for which a certified survey map <br /> will be prepared for approval and recorded. This amendment will become <br /> effective, if within 90 days of its approval by the Dane County Board of <br /> Supervisors a certified survey map that describes the land to be rezoned is <br /> recorded in the Office of the Dane County Register of Deeds. <br /> Respectfully submitted on ( 197 Uby: <br /> Owner: <br /> Agent: // / / <br /> Name � yj . a if C S�'n, 6/'e5- Name �o Y � S� ✓� a ✓ F�U �iK. �G2 ci✓c Z <br /> 7 r <br /> Street /�0 p I� 7 ��rc r ��/� 6 o p <br /> u�_ 4.1 l N)? r Street , <br /> Post //'' , // ���L <br /> Pest �f p ` Office �f/ez UyC 4 /rr <br /> --- -(/Qc/ f .S�.3S� 7 Telephone ^ip �.3 S �l 7 <br /> TP 1 c:phon�• � 7 ,--,p 3 Y zip <br /> f13 <br />