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R <br /> DANE COUNTY <br /> APPLICATION FOR A CONDITIONAL USE PERMIT No. 545 <br /> The undersigned hereby applies for a conditional use permit for a <br /> community living arrangement in the RH-4 Rural Homes <br /> District as provided for in ss 10.093(2) 10..09 (2) ,(b) f the Dane County Ordinance. The <br /> Southeast of <br /> property is located at Raymond Rd. at CTH PD in the Town of • <br /> • <br /> Verona , more fully de•.. , follows; <br /> • <br /> • <br /> That part of the E 1/2 SE 1/4 Section 3, Town of Verona, lying <br /> Southeasterly of Raymond Road. <br /> DEC 301986 <br /> Respectfully submit e , on //— — 19E by: <br /> Agent: Owner: <br /> Name / Name <br /> [�/�iC/iz !J`i NIA%2 b. C/ rte/ pf ��'£�5 / CA..✓� <br /> Street / vim,Pti" -7-. ✓' - Street . A*7"7N. Cl/s=sG <br /> Post Post <br /> Office /27,�S .s.j^j Office /77,4/^/ S i- C‹.%).s.s <br /> Telephone_2..2/' _24.2 / Zip Telephone 7�7f1_ / <br /> 545-59(11/79) <br />