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Dane County Rezone & Application Date Petition Number <br /> 12/16/2016 DCPREZ-2016-11090 <br /> Conditional Use Permit Public Hearing Date C.U.P.Number <br /> 02/28/2017 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> FOSEID FARM LLC Code) LEE MAYRACK Code) <br /> ((608)445-7741 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 9485 BRAUN RD 2034 MAIN STREET <br /> (City,State,Zip) (City,State,Zip) <br /> BLACK EARTH, WI 53515 Cross Plains, WI 53528 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> Imayrack @c21 affiliated.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 /> 9485 Braun Road <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> VERMONT 13 cRoss ` mt--35 i S <br /> ' ZU <br /> iiiirjr017010iM I ,'w,#PARCEL NUMBERS INVOLVED,Y � �" PARCEL NUMBERS INVOLVED ": t, : <br /> 0706-131-8000-0 0107 —►g2 SC.60 °l <br /> REASON FOR REZONE CUP DESCRIPTION <br /> SEPARATING EXISTING RESIDENCE FROM <br /> FARMLAND AND CREATING AN AGRICULTURAL LOT <br /> IrAfreirithilA . :g TO DISTRICT, "" kkaltAl ?DANE COUNTY;CODE OF.ORDINANCE SECTION. .I.,ACRES:' <br /> A-1 Ex Exclusive Ag A-2(2)Agriculture 3.8 <br /> District District <br /> A-1 Ex Exclusive Ag A-4 Agriculture District 5.0 <br /> District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S INITIALS SIGNATURE:(Owner or Agent) <br /> REQUIRED? �j(J <br /> ®_Yes_ _❑ No ❑ Yes ® No Q Yes- _ ® No �i/ <br /> RWL1 <br /> Applicant Initials Applicant Initials ` Applicant Initials PRINT NAME: <br /> DATE: <br /> 14535/S3341gg /z.//6.`.G <br /> CSM/DOC: tt-15 36 533 lgq <br /> DEED RESTRICTION: 5 3 3 4 a0© Form Version 03.00.03 <br /> DEED NOTICE: <br /> OTHER: <br />