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DANE COUNTY <br /> APPLICATION FOR A CONDITIONAL USE PERMIT • No. V77 <br /> The undersigned hereby applies for a conditional use permit for a <br /> in the <br /> District as provided for in ss of the Zoning Ordinance. The <br /> property is located at in the Town of <br /> , more fully described as follows: <br /> Respectfully submitted on (7t/ // 19 TO by: <br /> Agent: Owner: <br /> Name UV i IN `o 6E# S%on t em MA Name e A fQ o,-Yh/ y <br /> z ,At't /drd- <br /> street p O 1J 0 )'Fq Street 73670 Oh' /f-/S'/ L/,F4oh'rf c <br /> Past Post <br /> Office it) Office • r. ' <br /> Tolephon . - . 4 - S Zip 5-3 7 /1 Telephone - /�� <br /> 545-59(11/79) <br />