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Dane County Rezone & Application Date Petition Number <br /> 05/19/2016 DCPREZ-2016-11014 <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 /> DEBRA L DORN Code) Code) <br /> (920) 988-0920 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 839 LUM AVE <br /> (City,State,Zip) (City,State,Zip) <br /> WATERLOO, WI 53594 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> DBDORN @ICLOUD.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 /> 500 FEET NORTH AND WEST OF <br /> 231 SUN PRAIRIE RD <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> YORK 24 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED,,; PARCEL NUMBERS INVOLVED <br /> 0912-243-9080-0 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> ALLOW AGRICULTURAL ACCESSORY BUILDING <br /> FROM DISTRICT,. TO DISTRICT ACRES " DANE COUNTY CODE OF ORDINANCE SECTION ` ACRES" <br /> RH-3 Rural Homes A-2 (8)Agriculture 11.79 <br /> District District <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 UPte-/ /4,1P <br /> it• /d HJH3 <br /> Ap ' nt Initials pplicant Initia j Appl' nt Initial ♦„/� r 5INT NAME: <br /> � n <br /> A ijd ry L - �Jbrh <br /> DATE: <br /> 0972 Form ersion 03.00.03 <br />