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DANE COUNTY <br /> • <br /> APPLICATION FOR A CONDITIONAL USE PERMIT No. <br /> The undersigned hereby applies for a conditional use permit for a <br /> an existing single family <br /> residence in the A-2 Agrirn11-nra <br /> District as provided for in SS 10.126(2 ) (i) of the Zoning Ordinance. The <br /> property is located at 1130 USH 12 in the Town of <br /> Deerfield , more fully described as follows: <br /> Pet. #4202/658: <br /> Part of the SW 1/4 SE 1/4 of Section 29, Town of Deerfield described as <br /> follows: TO RH-2: Commencing at Southeast corner of said. quarter quarter and <br /> point of beginning, thence North 750 feet; thence West 250 feet; thence S 750 <br /> feet; thence East 250 feet to the point of beginning. TO A-2: Commencing at <br /> the Southeast corner of said quarter quarter; thence West 250 feet to the <br /> point of beginning; thence North 750 feet; thence West 250 feet; thence S 750 <br /> feet; thence East 250 feet to the point of beginning. <br /> This description is intended to describe land for which a certified survey map <br /> will be prepared for approval and recorded. This amendment will become <br /> effective, if within 90 days of its approval by the Dane County Board of <br /> Supervisors a certified survey map that describes the land to be rezoned is <br /> recorded in the Office of the Dane County Register of Deeds. <br /> AM 4'fR.. ./vd?MAV JW. - Aj <br /> ll d 1//6/4/4/4 ' /1- <br /> Respectfully submitted on //AliPG/7'4( 19g9by: <br /> Agent: Owner: ��,// <br /> Name / Name ' // /,v/tr) /',hi/Az-4 <br /> 17" k ) -- <br /> Street /G tit l,(„ 1/1�/9S�J,//�T"OiU Street <br /> Post Post <br /> Office 57gI ,'?7a) ,J JV/s Office 22�F/i) �'ff//�J <br /> Telephone f7,3 ,�Y,17' Zip, S�� Telephone YRA2 <br /> 545-59(11/79) <br />