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Dane County Rezone & Application Date Petition Number <br /> 07/18/2016 DCPREZ-2016-11031 <br /> Conditional Use Permit Public Hearing Date C.U.P.Number <br /> 09/27/2016 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> SCHUYLER PIERCE Code) Code) <br /> (608) 712-3325 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 5456 BROKEN BOW RD <br /> (City,State,Zip) (City,State,Zip) <br /> SUN PRAIRIE, WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> spaceag6ustoms @gmail.corn <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 /> 5456 BROKEN BOW RD <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> BURKE 24 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <br /> 0810-241-7089-3 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> ALLOW A TALLER HEIGHT FOR SHED <br /> FROM DISTRICT: TO DISTRICT: ACRES DANE COUNTY CODE OF ORDINANCE SECTION l ACRES <br /> R-1 Residence District A-2 (1)Agriculture 1.09 <br /> District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Owner or t) <br /> REQUIRED? <br /> ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No <br /> SSA1 <br /> ,Q <br /> Applicant Initials Applicant Initials CV Applicant Initials se PRINT NA E: <br /> ay/ Pr:etc e <br /> DATE: <br /> 7//Y/f( <br /> CSM/DOC: Form Version 03.00.03 <br /> DEED RESTRICTION: 57'/ 7 <br /> DEED NOTICE: <br /> OTHER: <br />