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Dane County Rezone & Application Date Petition Number <br /> 06/07/2016 DCPREZ-2016-11018 <br /> Conditional Use Permit Public Hearing Date C.U.P.Number <br /> 08/23/2016 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> O'BRIEN FAMILY IRREV TR Code) CHASE O'BRIEN Code) <br /> (608) 333-5087 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 509 GLENWAY RD 2594 LEOPOLD WAY#113 <br /> (City,State,Zip) (City,State,Zip) <br /> BROOKLYN, WI 53521 SUN PRAIRIE, WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> CHASEO5887 @GMAIL.COM CHASEO5887 @GMAIL.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 /> NORTH AND WEST OF 509 NORTH AND WEST OF 509 NORTH AND WEST OF 509 <br /> GLENWAY RD GLENWAY RD GLENWAY RD <br /> TOWNSHIP TOWNSHIP TOWNSHIP SECTION <br /> OREGON 'SECTION <br /> 27 OREGON 1SECTION <br /> 27 OREGON 27 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED ' PARCEL NUMBERS INVOLVED <br /> 0509-271-8220-3 0509-271-8720-8 0509-271-9000-7 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> CREATING TWO RESIDENTIAL LOTS <br /> FROM DISTRICT: TO DISTRICT: ACRES DANE COUNTY CODE OF ORDINANCE SECTION I ACRES <br /> A-1 Ex Exclusive Ag A-2 Agriculture District 16.3 <br /> District <br /> A-1 Ex Exclusive Ag A-2 (8)Agriculture 14.5 <br /> District District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Own @r or Agent) <br /> REQUIRED? <br /> Yes ❑ No ❑ Yes ® No ❑ Yes ® No <br /> /\ HJH3 <br /> AppliccLirtTrinTSP Appl nt Inate 011___ Ap als C PRIN T <br /> NAME: <br /> CknASO bI13( ►e�1 <br /> -7 <br /> CsM/Doc: 'Hy 0. /sa,:iaaci 3 <br /> Form Version 03.00.03 <br /> DEED RESTRICTION: <br /> DEED NOTICE: <br /> OTHER: <br />