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• <br /> DANE COUNTY <br /> APPLICATION FOR A CONDITIONAL USE PERMIT No. a 277 <br /> The undersigned hereby applies for a conditional use permit for a <br /> Religious use- otiurch 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 0 -; 7 197 )by: <br /> by: <br /> Agent: <br /> Owner: <br /> S� <br /> / <br /> // C/�o ✓ 4uz . chL,re <br /> I <br /> Name • Y/ f+ l�/� C.5"/ re5- Name <br /> lIZGZ _ 'c� <br /> Street /._/'a - (e3 �-j , c N? { � Street .5'75 7 E'n cr's1.4 6 )- 'c u ro <br /> Post Post <br /> ref f G(./er- %1.K Pc, ( / Office Ze2az Uvl 4- 4-C. r/ <br /> T,'teptiono f' -Y-y3 Y zip-5 35 7 Telephone ^ip S3 S 9 7 <br /> 545-59(11/79) <br />