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Dane County Rezone & Application Date Petition Number <br /> 09/13/2016 DCPREZ-2016-11055 <br /> Conditional Use Permit Public Hearing Date 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 /> GOTZION TR Code) BIRRENKOTT SURVEYING INC Code) <br /> (608) 834-9309 (608) 837-7463 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 7519 VALLEY HILL RD 1677 N BRISTOL ST <br /> (City,State,Zip) (City,State,Zip) <br /> COLUMBUS, WI 53925 SUN PRAIRIE, WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> AKASPER @BIRRENKOTTSURVEYING.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 /> 7519 VALLEY HILL RD <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> YORK 7 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <br /> 0912-073-8650-8 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> INCREASE SIZE OF CSM LOT <br /> FROM DISTRICT: TO DISTRICT: ACRES DANE COUNTY CODE OF ORDINANCE SECTION I ACRES <br /> A-1 Ex Exclusive Ag A-4 Agriculture District 27.93 <br /> District <br /> RH-1 Rural Homes RH-3 Rural Homes 2.88 <br /> District District <br /> A-1 Ex Exclusive Ag RH-3 Rural Homes 9.4 <br /> District District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Owner or Agent) <br /> REQUIRED? /� \ <br /> 0 Yes ❑ No ❑ Yes ® No ❑ Yes ® No -- a.1 - 1 <br /> .5 N. HJH3 Ill 77 +r , GGGL����� <br /> Applicant Initials /� Applicant Initials � pplicant Initials> PRINT NAME: / <br /> - LeSq( acs cr9p-h,n 'fib be {.tv,3zol, / 1'4rK 4 . ylIloit-en <br /> ' ( DATE: <br /> � /3/ ZO/ . <br /> csM/DOC: I L-ILI II/c xi q 3 3s- Form Version 03.00.03 <br /> DEED RESTRICTION: <br /> DEED NOTICE: <br /> OTHER: <br />