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Dane County Rezone & Application Date Petition Number <br /> 10/17/2016 DCPREZ-2016-11066 <br /> Conditional Use Permit Public Hearing Date C.U.P.Number <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 /> (608) 513-4008 <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 A '-'11-.�S/LOCATION 2 ADDRESS/LOCATION 3 <br /> ADDRESS OR LOCATION OF REZONE/CUP ADDRESS OR L• TION OF REZONE/CUP ADDRESS OR LOCATION OF REZONE/CUP <br /> 6645 HYSLOP RD <br /> TOWNSHIP 'SECTION TOWNSH SECTION TOWNSHIP SECTION <br /> DANE I 35 <br /> PARCEL NUMBERS INVOLVED P UMBERS I ' f " PARCEL.NUMBERS INVOLVED .- <br /> 0908-351-8650-0 /. <br /> REASON FOR REZONE CUP DESCRIPTION <br /> RELOCATION OF BUILDING SITE <br /> , iiit) .. <br /> ■ <br /> FROM DISTRICT: TO DISTRICT; ACRES DANE COUNTY CO +FORDINANNICE SECTION I ACRES <br /> A-1 Ex Exclusive Ag RH-3 Rural Homes 7.67 <br /> District District )a4 <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION SPECTOR'S INITIALS SIGNATURE:(Owner or Agent) <br /> REQUIRED? <br /> El Yes 0 N El Yes ® No ❑ Yes ® No <br /> HJH3 �,• y/1 e_ daretr- <br /> Applicant Initiaa5Applicant Initials Applicant Initial4 PRINT E: <br /> DATE: <br /> /OA 7A 5- <br /> Form Version 03.00.03 <br />