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DANE COUNTY <br /> APPLICATION FOR A CONDITIONAL USE PERMIT No. M <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 X a/ 0 19e1 by: <br /> Agent: Owner: <br /> Name Name / <br /> I •e Li <br /> Street Street J girt) , <br /> Post Post , " ) <br /> office Office k,1741/5 ktl/ (� <br /> Telephone Zip Telephone /e ,S~S,— yQ// 'ip ,`5_75:51 <br /> 545-59(11/79) / <br />