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DANE COUNTY <br /> APPLICATION FUR A CONDITIONAL USE PERMIT No. dO� <br /> The undersigned hereby applies for a conditional use permit for a <br /> duplex residence in the B-i Local Business <br /> District as provided for in ss 10.11 (2) (0 the Zoning Ordinance. The <br /> property is located at between 605 & 613 Memphis in the Town of <br /> Ave. <br /> Blooming Grove , more fully described as follows: <br /> C.U.P. #603: <br /> Part of the NW 1/4 NE 1/4 Section 5, Town of Blooming Grove described as <br /> follows: Lot #6, Block #2, E.L. Gallagher Plat. <br /> Respectfully submitted on ()Ai. e 19 0 by: <br /> Agent: Owner: <br /> Name ...11111P.ccc 1 (1;4., Name Ci kar E.5 112(�` f� <br /> Street `l (-2. r-2) Auc Street 17( / �/1F f�^: ��r� ,AV t <br /> Post Post <br /> office Office <br /> Telephone 3% D 70 a_ Zip 70C Telephone 3'3 -- ip <br /> 545-59(11/79) <br />