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DANE COUNTY APPLICATION FOR A CONDITIONAL USE PERMIT No. E/S The undersigned hereby applies for a conditional use permit for a in the District as provided for in ss of the Zoning Ordinance. The property is located at in the Town of , more fully described as follows: Pet. #4057/#615: Part of the SE 1/4 NE 1/4 of Section 17, Town of Mazomanie described as follows: Commencing at the East quarter corner of said Section 17; thence S 87° 30' 56" West, 656.73 feet along the South line of said SE 1/4 NE 1/4 to the point of beginning; thence S 87° 30' 56" West, 670.49 feet along the South line of said SE 1/4 NE 1/4; thence N 010 50' 05" West, 490.60 feet along the West line of said SE 1/4 NE 1/4; thence Northeasterly 730.06 feet along the Southerly right-of-way line of USH 14; thence S 01° 41' 58" East, 767.60 feet to the point of beginning. This description is intended to describe land for which a certified survey map will be prepared for approval and recorded. This amendment will become effective, if within 90 days of its approval by the Dane County Board of Supervisors a certified survey map that describes the land to be rezoned is recorded in the Office of the Dane County Register of Deeds. Respectfully submitted on (1A'`� '?19 by: Agent: a Owner: • Name Name ///177i' A' �• Street Street 4 G / 7 - / Post Post 1)ffice Office Telcrhon Zip Telephone / C -- (72 g0/ ip e P 545-59(11/79)