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DANE COUNTY <br /> APPLICATION FOR A CONDITIONAL USE PERMIT No. <br /> The undersigned hereby applies for a conditional use permit for a <br /> Single family residence in the B-1 Business <br /> District as provided for in ss io.11(2) (a)of the Zoning Ordinance. The <br /> property is located at 2575 Bass Road in the Town of • <br /> Cottage Grove , more fully described as follows: <br /> - Pet. #3633: <br /> Part of the SW 1/4 SW 1/4 of Section 21 Town of Cottage Grove described as <br /> follows: Lot #27, Third Addition to Skyhigh Plat. <br /> MAY 27 1986 <br /> Respectfully submitted on 2 ' 19 by: <br /> Agent: Owner: /�/ <br /> Name Name A c �I .K _� Ll4, -,t 47 4 <br /> Ul/ , <br /> (; t o r s ct y-) Al ski <br /> Street Street a J 7.S aQ 5 5 ,el <br /> Post Post `� n <br /> Office Office .. b � a1,e aiio u . <br /> Telephone Zip Telephone J'39- 4'% j,?S d 7 <br /> 545-59(11/79) <br />