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Dane County Rezone & Application Date Petition Number <br /> Conditional Use Permit 11!2012013 DCPREZ-2013-10638 <br /> Public Nearing Dab C.V.P.Number <br /> 01/28/2014 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> GERALD SCOTT POLSTER Code) I] Code) <br /> (608)334-8803 f'\me Z C't- 3 t1-5 3 4 <br /> BILLING ADDRESS(Number 8 Street) ADDRESS(Number 8 Street) �\\ <br /> N4676 OLD FOREST RD t <br /> (City,State,Zip) (Ci I State,Zip) <br /> CAMBRIDGE, WI 53523 <br /> L ��, <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> scoff.polster @promega.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 /> South of 616 County Highway B <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> CHRISTIANA 27 <br /> F 4 <br /> 0612-271-8691-5 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> CREATING TWO RESIDENTIAL LOTS TWO SMALL <br /> AGRICULTURE LOTS <br /> A-1 Ex Exclusive Ag RH-1 Rural Homes 6.8 <br /> District District <br /> A-1 Ex Exclusive Ag A-4 Agriculture District 24.2 <br /> District <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 /> �^ �7 SSA1 <br /> App■cant<nitials` i Applicant Initials C� I Applicant Initials C J PRINT NAME: <br /> S <br /> AId , O f` { aq- <br /> DATE: <br /> Form Version 03.00.02 <br />