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Dane County Rezone & Application Date Petition Number <br /> 10/18/2016 DCPREZ-2016-11066 <br /> Conditional Use Permit Public Hearing Date C.U.P.Number <br /> 12/13/2016 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME , PHONE(with Area AGENT NAME \ PHONE(with Area <br /> DAVID W KARLS Code) JENNY ACKER-EMBERSON Code) <br /> 414 5-ofgo <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 6645 HYSLOP RD 1505 SAVANNAH BLVD <br /> (City,State,Zip) (City,State,Zip) <br /> DANE, WI 53529 WAUNAKEE, WI 53597 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> JENNY.ACKER @ACKERBUILDERS.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 /> 6645 HYSLOP RD <br /> TOWNSHIP SECTION TOWNSHIP (SECTION TOWNSHIP SECTION <br /> DANE 35 <br /> PAU L N11tf LlbS tNVOLVEO #; 00L'NU i NVO1.ED <br /> �,,�; ., ..b., ,�.,4� „,,.J.t'b'•R�;�, , '" :4;10.40.4140:.11:71:17 <br /> 0908-351-8650-0 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> RELOCATION OF BUILDING SITE <br /> �y�► fy;��. , �..y, ��.�?q /Wy�yy$ aaE■y/�1, y y/,, z �y� <br /> 'z,`- O104C:0`It'1ltO7't <br /> A-1 Ex Exclusive Ag RH-3 Rural Homes 7.67 <br /> District District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S SIGNATURE:(Owner or Agent) <br /> REQUIRED? INITIALS <br /> ❑ Yes 0 No ❑ Yes ® No ❑ Yes ® No <br /> HJH3 <br /> Applicant Initials Applicant Initials Applicant Initials PRINT NAME: <br /> DATE: <br /> Form Version 03.00.03 <br />