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Dane County Rezone & Application Date Petition Number <br /> 05/16/2016 DCPREZ-201 6-11 006 <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 /> WAYNE S WEBER Code) Code) <br /> (608) 225-5205 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 2821 PRAIRIE CIR <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA, WI 53593 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> wweber @edgeone.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 /> 2821 Prairie Circle <br /> TOWNSHIP TOWNSHIP SECTION TOWNSHIP SECTION <br /> VERONA 1SECTION <br /> 7 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <br /> 0608-074-8512-0 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> CREATING TWO RESIDENTIAL LOTS <br /> FROM DISTRICT: TO DISTRICT: ACRES DANE COUNTY CODE OF ORDINANCE SECTION I ACRES;'' <br /> RH-2 Rural Homes RH-1 Rural Homes 2.75 <br /> District District <br /> RH-2 Rural Homes RH-1 Rural Homes 2.5 <br /> District District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Owner or Agent) <br /> REQUIRED? �/l <br /> ® Yes ❑ No ❑ Yes ® No ❑ Yes ❑ No <br /> SCW1 <br /> Applicant Initials Applicant Initials Applicant Initials P T NAME: <br /> 241 112 <br /> DATE: <br /> 14347/ 7011.11 <br /> DEED RESTRICTION: ` Form Version 03.00.03 <br /> DEED NOTICE: <br /> OTHER: <br />