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Dane County Rezone & Application Date Petition Number <br /> 10/21/2016 DCPREZ-2016-11074 <br /> Conditional Use Permit Public Hearing Date C.U.P.Number <br /> 12/13/2016 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> WAYNE A MASEK Code) Code) <br /> (608) 921-7921 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 688 EDGERTON RD <br /> (City,State,Zip) (City,State,Zip) <br /> EDGERTON, WI 53534 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <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 /> 688 EDGERTON ROAD 633 STATE HIGHWAY 73 <br /> TOWNSHIP TOWNSHIP TOWNSHIP SECTION <br /> ALBION 1SECTION <br /> 22 ALBION 'SECTION <br /> 22 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <br /> 'PARCEL INVOLVED ` � � <br /> 0512-224-8060-0 0512-224-8021-0 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> CREATING TWO RESIDENTIAL LOTS <br /> FROM DISTRICT: TO DISTRICT; ACRES DANeCOUNVeCODi OF ORDIN1NCE,SECTION ACRES <br /> A-1 Ex Exclusive Ag RH-2 Rural Homes 10.02 <br /> District District <br /> A-1 Ex Exclusive Ag A-4 Agriculture District 25.23 <br /> District <br /> R-1A Residence District RH-2 Rural Homes 1.51 <br /> District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTORS INITIALS SIGNATURE: er or Agent) <br /> 10 Yes ❑ No ❑ Yes ® No ❑ Yes ® No 074a <br /> PM K2 <br /> Applicant Initials Applicant Initials Applicant Initials PRINT NAME: <br /> COMMENTS: CREATION OF TWO RESIDENTIAL LOTS. <br /> DATE: <br /> CSM/DOC: 1141(p 3/53(06, /(2-,p)_ >� <br /> DEED RESTRICTION: <br /> DEED NOTICE: Form Version 03.00.03 <br /> OTHER: <br />