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f ( e (�'C(�( <br /> �J <br /> t Application Date Preliminary lary Application Number <br /> Dane County Rezone & <br /> Conditional Use Permit Application I Public Hearing Date Petition Number C.U.P.Number I <br /> OWNER INFORMATION I AGENT INFORMATION <br /> OWNER NAME r,, PHONE with Area Code AGENT NAME PHONE with Area Code <br /> 9gif6 frid y Pild vtS 1obS-3 s- <br /> e ✓v , c) , <br /> :300 • � De$82- <br /> BILUNG ADDRE umber,Sheet) e ADDRESS 1/06 ref/Vint �d72Md / <br /> (C a w! 53 3 it sip- , �i �3 3 <br /> E-MALADD E-MAILADORESS / i <br /> hci c Z S 4 a,hot, co. ,+'en -e_6). • ivza-r/ . c - <br /> ADDRESS L OCIST!OF. ? ADDRESS I.00ATiON 2 ADDRESS LOCATION 3 <br /> tie,i_Dna / u • �3$ 3 <br /> TOM4SHIP SECTION TOWNSHIP SECTION TOWNSHIP <br /> SECTION <br /> 4f - (3 5a o _=____ <br /> 0(0 08- 07 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> C ' a- o f <br /> INSPECTOR'S ► -TURF: (Owner or Agent) l <br /> T'-- -' <br /> - � j = S . ,- INITIALS <br /> as L aes y. �1,es d/`. <br /> •Appic rd Initials Applicant Initials RINT NAME: <br /> Applicant Millais <br /> COMMENTS: D TE: <br />