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Dane County Rezone & Application Date Petition Number <br /> 06/02/2016 DCPREZ-2016-10992 <br /> Conditional Use Permit Public Hearing Date C.U.P.Number <br /> 06/28/2016 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> NORTH AMERICAN GROUP OF Code) BIRRENKOTT SURVEYING INC. Code) <br /> COMPANIES INC (608)837-7463 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 5787 AUBURN DR 1677 N. BRISTOL STREET <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53711 SUN PRAIRIE, WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> AKASPER @BIRRENKOTTSURVEYING.COM <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 /> 3695 COUNTY HIGHWAY N <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> COTTAGE GROVE 21 <br /> PARCEL NUMBERS INVOLVED »ARCE>«HuMB� .,.... � _ ..,. (JM6EFl�rI}�f(OL"ifD ,. <br /> r�RS INVOLVED ' PARCEL� <br /> 0711-213-9720-7 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> CREATE 16 RESIDENTIAL LOTS <br /> FROM DISTRICT; TO DISTRICT: ACRES,: DANA COUNTY CODE.OF ORDINANCE SECTION ACRES <br /> A-2 (8)Agriculture R-2 Residence District 11.41 <br /> District <br /> A-2 (8)Agriculture TDR-R Transfer of <br /> District Development Rights <br /> Receiving Area Overlay <br /> District(Receiving <br /> Area) <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S SIGNATURE:(Owner or Agent) <br /> REQUIRED? INITIALS <br /> Yes ® No ® Yes ❑ No ® Yes ❑ No <br /> PMK2 <br /> Applicant Initials Applicant Initials Applicant Initials PRINT NAME: <br /> COMMENTS: TO CREATE 16 SINGLE FAMILY LOTS. <br /> DATE: <br /> P�d'f P44 <br /> S 303C' 5 (,15KQ95)-vl/3l/I? <br /> DEED RESTRICTION: Form Version 03.00.03 <br /> DEED NOTICE: 5 30s 9-s 1 W(6/(7 <br /> OTHER: <br />