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Rezone/C.U.P. Application Information NUMBER <br /> GENERAL INFORMATION 1 PUBLIC ircARING DATE: D.E.D. <br /> 1.TOWN, VILLAGE,OR CITY COUNTY <br /> DANE <br /> 2.THIS NOTICE IS FOR: <br /> j REZONING LI CONDITIONAL USE/SPECIAL EXCEPTION <br /> 3.OWNER'S NAME AT TIME OF REZONING TELEPHONE <br /> ( ) <br /> OWNER ADDRESS <br /> AGENT ITELEPHONE <br /> ( ) <br /> AGENT ADDRESS <br /> 4. DESCRIPTION OF PROPERTY WHICH WAS GRANTED THE REZONING OR CONDITIONAL USE/SPECIAL EXCEPTION PERMIT <br /> 1/4 1/4 Sec. I Sec. - I Town - I Range '" <br /> PARCEL NUMBER(S) BEFORE REZONING PREVIOUS ZONING DISTRICT NEW ZONING DISTRICT <br /> PARCEL ADDRESS <br /> INTENT/PURPOSE <br /> LAND:AREA AND IMPROVEMENTS <br /> 5.TOTAL ACRES IN PARCEL BEFORE REZONING TOTAL ACRES IN PARCEL IN EXCLUSIVE AG.ZONE BEFORE <br /> 3 REZONING <br /> a.Of the original parcel,how many acres were rezoned OUT OF agricultural use or granted a non-Ag conditional use/special exception? <br /> b. How many acres were rezoned INTO exclusive agricultural district? <br /> c.Were there improvements on the original parcel? -�-� <br /> t� .l!YES NO <br /> d. What percentage of the improvements was rezoned or granted a conditional use/special exception? <br /> REZONE <br /> 6. REASON FOR REZONING <br /> a. LI Develop land for non-Ag. residential use. <br /> How far is the land from a How far is the land from an <br /> city or village boundary? MILES existing residential area? MILES <br /> Is the land served by public sewer? Is the land within a sanitary district? <br /> D YES j NO D YES D NO <br /> Is the land served by public water? Is the land within a planning transition area? <br /> j YES ONO ❑YES 0 NO <br /> If more than one lot was developed—number of lots: Average lot size: <br /> b. U Develop land for industrial use f. LI Farm consolidation <br /> c. D Develop land for commercial use g. U Residence for parent or child of farm operator <br /> d. j Develop land for recreational use h. j Other(please specify) <br /> e. LI Pre-existing use, substandard or nonconforming parcel <br /> 545-91(5/90) <br />