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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 /> Mineral extraction site <br /> in the A-2 Agriculture <br /> District as provided for in ss 10. 126 (2) (a) of the Zoning Ordinance. The <br /> property is located at 6180 USH 12 in the Town of <br /> Springfield , more fully described as follows: <br /> Pet. #3744: <br /> Part of the E 1/2 SW 1/4 of Section 5, Town of Springfield described as <br /> follows: The E 1/2 SW 1/4 of Section 5, Town of Springfield. <br /> Respectfully submitted on 19 by: <br /> Agent: Owner: <br /> Name ��Khq eLS Y Name 7(4w1r!-5 %/—c.' ; ( Yr FE-r:v/tnl <br /> l/!9N —�' <br /> Street �tA. �z � Street <br /> Post Post <br /> Office Office <br /> Telephone Zip S 3c'o U, Telephone 7`,5 1.12_3— Zip <br /> 545-21(11/79) <br />