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Dane County Rezone & Application Date Petition Number <br /> 10/20/2016 DCPREZ-2016-11067 <br /> Conditional Use Permit Public Hearing Date C.U.P.Number <br /> 12/13/2016 DCPCUP-2016-02366 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> THAYER E EVERY Code) Code) <br /> (608) 219-7831 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 512 TAYLOR WI 53589 <br /> (City,State,Zip) (City,State,Zip) <br /> Stoughton, WI 53589 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> eveco@att.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 /> 298 State Highway 138 <br /> TOWNSHIP TOWNSHIP SECTION TOWNSHIP SECTION <br /> DUNKIRK 'SECTION <br /> 30 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED PARCEL'NUMBERS INVOLVED 4,Y <br /> 0511-304-9000-2 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> ZONING TO ALLOW FOR A SALVAGE RECYCLING SALVAGE RECYCLE CENTER <br /> CENTER <br /> FROM DISTRICT: TO DISTRICT; ACRES DA$E€COUNTY CODE OF_ORDINIANCE SECTION" - ACRES <br /> A-1 Ex Exclusive Ag A-2 (2)Agriculture 2.81 10.126(3)(g) 2.81 <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 /> SSA1 <br /> Applicant Initials Applicant Initials Applicant Initials PRINT NAME: <br /> DATE: <br /> CSM/DOC: ,5 33 Q076 Form Version 03.00.03 <br /> DEED RESTRICTION: <br /> DEED NOTICE: <br /> OTHER: <br />