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Dane County Rezone & Application Date Petition Number <br /> 01/18/2017 DCPREZ-2017-11104 <br /> Conditional Use Permit Public Hearing Date C.U.P.Number <br /> 03/28/2017 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> ROSEMARY MARDEN Code) Code) <br /> (608) 219-4199 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 3226 OLD STAGE RD <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON, WI 53589 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> rose@litewire.net <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 /> 3226 OLD STAGE ROAD <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> RUTLAND 36 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED : PARCEL NUMBERS INVOLVED <br /> 0510-361-9690-1 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> ZONING TO ALLOW ANIMALS <br /> FROM DISTRICT: TO DISTRICT ACRES DANE COUNTY CODE OF ORD# /li#!I�C'iE SI CTION I ACRES <br /> A-1 Ex Exclusive Ag RH-1 Rural Homes 3.85 <br /> District District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Owner or Agent) <br /> REQUIRED? <br /> ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No <br /> fin Applicant Initials f f <br /> Applicant Initials '1 Applicant Initials (m PRINT NAME: <br /> osemary lrl arde;� <br /> DATE: / <br /> VieS,—AN) <br /> Form Version 03.00.03 <br />