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Dane County Rezone & Application Date Petition Number <br /> 07/24/2015 DCPREZ-2015-10895 <br /> Conditional Use Permit Public Hearing Date C.U.P.Number <br /> 10/27/2015 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> DANIEL S BREUNIG Code) BIRRENKOTT SURVEYING INC. Code) <br /> (608) 712-0086 (608) 837-7463 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 6469 VIADUCT RD 1677 N. BRISTOL STREET <br /> (City,State,Zip) (City,State,Zip) <br /> DANE, WI 53529 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 /> 6625 VIADUCT ROAD 6469 VIADUCT ROAD <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> DANE 11 DANE 12 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <br /> 0908-111-8291-0 0908-122-8671-0 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> CREATING ONE RESIDENTIAL LOT <br /> FROM DISTRICTS TO DISTRICT: ACRES DANE COUNTY CODE OF ORDINANCE SECTION I ACRES <br /> A-1 Ex Exclusive Ag A-2 (4)Agriculture 6.83 <br /> District District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Owner o gent <br /> REQUIRED? <br /> Yes ❑ No ❑ Yes RI No ® Yes ❑ No <br /> PM K2 1/, <br /> Applicant Initials Applicant Initials Applicant Initials PRINT NAME: <br /> COMMENTS: CREATING ONE RESIDENTIAL LOT. <br /> '14M-L . K.spr <br /> DATE: <br /> • 8-41-15 <br /> Form Version 03.00.03 <br />