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Dane County Rezone & Application Date Petition Number <br /> 01/18/2017 DCPREZ-2017-11103 <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 /> PAUL J TUITE &TAMMY LATOUR Code) Code) <br /> (608) 242-6379 j t,' r,,,�50•, a-ft/ey.I,.S S-S7tDE <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 6257 MARY IDA DR 1 (� t�Ps/- 1'1�;r, s /- <br /> (City,State,Zip) (City,State,Zip) <br /> DEFOREST, WI 53532 Va✓-NrAkpe W L S SZ97 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> LATOUR.TAMMY @COUNTYOFDANE.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 /> 6257 MARY IDA DR <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> BURKE 3 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED, <br /> 0810-032-1421-4 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> SHIFTING OF PROPERTY LINES BETWEEN <br /> ADJACENT LAND OWNERS <br /> FROM DISTRICT: TO DISTRICT: ACRES DANE COUNTY CODE OF ORDINANCE SECTION <br /> R-1 Residence District A-1 Agriculture District .15 <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTORS INITIALS SIGNATURE:(Owner o(Agent <br /> REQUIRED? <br /> ® Yes ❑ No ❑ Yes ® No ❑ Yes ® No dear . <br /> HJH3 <br /> Applicant Initials Applicant Initials Applicant Initials PRINT NAME: <br /> COMMENTS: APPLICANT MAY WISH TO ALSO INCLUDE CUP FOR <br /> GOVERNMENT USES C I'1 e'i 5 <br /> DATE: <br /> ( � ! <br /> t� Form Version 03.00.03 <br /> CSM/DOC: I45 /5331 5 5 I ZVrAIN CRW1N*4 N SD13 Q. CurtalntDoti.wr� <br /> DEED RESTRICTION: <br /> DEED NOTICE: <br /> OTHER: <br />