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Dane County Rezone & Application Date Petition Number <br /> Conditional Use Permit 08/19/2020 DCPREZ-2020-11601 <br /> Public Hearing Date C.U.P.Number <br /> 10/27/2020 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> RHODA SCHUSTER Code) COMBS AND ASSOCIATES Code) <br /> (608)752-0575 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 87 N UNION RD 109 W. MILWAUKEE ST. <br /> (City,State,Zip) (City,State,Zip) <br /> BROOKLYN,WI 53521 JANESVILLE, WI 53546 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> rjcombs@combssurvey.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 /> 87 N. Union Road <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> RUTLAND 34 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <br /> 0510-343-8501-3 <br /> REASON FOR REZONE CUP DESCRIPTION <br /> SEPARATING EXISTING RESIDENCE FROM <br /> FARMLAND <br /> FROM DISTRICT: TO DISTRICT: ACRES DANE COUNTY CODE OF ORDINANCE SECTION J ACRES <br /> FP-35 Farmland RR-2 Rural Residential 3.64 <br /> Preservation District District <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S SIGNATURE:(Owner or Agent) <br /> REQUIRED? INITIALS <br /> ® Yes ❑No ® Yes ❑ No ❑ Yes ® No <br /> RWL1 <br /> Applicant Initials Applicant Initials Applicant Initials PRINT NAME: <br /> DATE: <br /> Form Version 03.00.03 <br />