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• <br /> APPLICATION FOR <br /> CERTIFICATE OF COMPLIANCE <br /> NAME: ` l�N/4∎e� <br /> ADDRESS: /(gyp dv., 124, rfi fe_`r`/r>� k 5-3 5 -3y <br /> LOCATION: pittR&6L os72-- i - ?S'/O-0 <br /> TOWN: 1-(b/0/1/ SECTION: /g 1/4 1/4: <br /> REASON FOR CERTIFICATE OF COMPLIANCE <br /> Home Occupation Change of Use <br /> _Non-conforming Use Non-conforming Location <br /> Existing Use <br /> Description: QA-(L k lig © Set y/> - 744-1,6e OA) f_ cop r4 <br /> NOTE: WRI t EN, SIGNED STATEMENT/S OF VERIFICATION OF DATE USE <br /> COMMENCED AND THAT THE USE HAS NOT BEEN ABANDONED FOR <br /> MORE THAN ONE YEAR AT ANY ONE TIME, AND DATE OF <br /> CONSTRUCTION OF NON-CONFORMING BUILDING, MUST BE INCLUDED <br /> WITH APPLICATION. <br /> PROPOSED USE OR CHANGE OF USE <br /> Description of existing use: /,eta idS U70. s I de Z/1.04-1/e e <br /> Description of proposed use: oei / /S d p pv <br /> NOTE: Pertinent floor plan or site plan must be included with application. Application shall be <br /> submitted to Dane County Zoning, (608)266-4266. <br /> DATE FILED: /O7/(/Zc'/7— CERT: <br /> BY: '-%4111- y"111� <br /> Jr er/Agent <br /> H:\Zoning\Zoning Division Documentation\Form\Home Occupation, Non-Conforming Use,Change of Use, Etc.Application Instructions.doc <br /> Page 3 of 3 -Revision 10.25.2010 <br />