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Dane County Rezone & Application Date Petition Number <br /> Conditional Use Permit :1ate DCPREZ-201 -11057 <br /> Public Hea C.U.P.Number <br /> 11/22/2016 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> JAMES R SEABURY Code) Code) <br /> (608)438-0853 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 7097 COUNTY HIGHWAY P <br /> (City,State,Zip) (City,State,Zip) <br /> DANE, WI 53529 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> fsea gmaiI corn -C.O1 <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 /> 7097 COUNTY HIGHWAY P <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> DANE 22 <br /> - <br /> PARCEL NUMBERS INVOLVED- PARCEL NUMBERS;INVOLVED PARCEL NUMBERS INVOLVED <br /> 0908-221-9960-0 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> ALLOW A TALLER BUILDING <br /> FROM DISTRICT: TO DISTRICT:' . ACRES DANE COUNTY CODE OF ORDINANCE SECTION I'ACRES <br /> Residence District A-2 (1)Agriculture 1.72 <br /> District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SI TURE: er or gent) <br /> REQUIRED? <br /> ❑ Yes ❑ No ❑ Yes ® No ❑ Yes No <br /> SSA? <br /> Applicant Initials Applicant Initials Applicant Initials PRINT NAME: <br /> w R 5e,eytC4JOI <br /> DATE: <br /> _ _ 6 <br /> Form Version 03.00.03 <br />