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Dane County Rezone & Application Date Petition Number <br /> 06/06/2016 DCPREZ-2016-10990 <br /> Conditional Use Permit Public Hearing Date C.U.P.Number <br /> 06/28/2016 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> SCOTT ALLYN WAGNER Code) PAULSON AND ASSOCIATES, LLC Code) <br /> (608) 516-4463 (608) 846-2523 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 2910 PEBBLE VALLEY CT 136 W HOLUM ST <br /> (City,State,Zip) (City,State,Zip) <br /> SUN PRAIRIE, WI 53590 DEFOREST, WI 53532 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> WAGS @FIRSTWEBER.COM DAN @PAULSONLLC.NET <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 /> 2910 PEBBLE VALLEY COURT 2916 PEBBLE VALLEY CT <br /> TOWNSHIP TOWNSHIP TOWNSHIP SECTION <br /> BRISTOL 'SECTION <br /> 20 BRISTOL 1SECTION <br /> 19 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <br /> 0911-203-9001-5 0911-194-7200-0 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> SHIFTING OF PROPERTY LINES BETWEEN <br /> ADJACENT LAND OWNERS <br /> FROM DISTRICT: TO DISTRICT: ACRES DANE COUNTY CODE OF ORDINANCE SECTION I ACRES <br /> R-1 Residence District A-1 Agriculture District .08 <br /> A-1 Agriculture District R-1 Residence District .07 <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 <br /> HJH3 <br /> Applicant Initials Applicant Initials Applicant Initials PRINT NAME: <br /> DATE: <br /> CSM/DOC: 19 36 3/ 5 a79 I y <br /> DEED RESTRICTION: <br /> DEED NOTICE: Form Version 03.00.03 <br /> OTHER: <br />