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Dane County Rezone Petition Application Date Petition Number <br /> 03/17/2021 <br /> Public Hearing Date DCPREZ-2021-11693 <br /> 05/25/2021 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> VERMONT ACRES LLC Code) WILLIAMSON SURVEYI G AND Code) <br /> (Karen &Aaron Oarlock) (773)682-8599 ASSOCIATESmom (608)255-5705 <br /> BILLING ADDRESS(Number&Street) ADDR her&S4[tet <br /> 4374 STATE HIGHWAY 78 104A ST <br /> (City, WA Slate,Zip) St <br /> BLACK EARTH, WI 53515 WAUNAKEE, WI 535' <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> karen.carlock@gmail.com — HRES) ••1,B. ' OM <br /> ADDRESS/LOCATION I ADDRE TIC V 2 ADDRESS/LOCATION 3 <br /> ADDRESS OR LOCATION OF REZONE ADDRESS OR LOCATION OF REZONE ADDRESS OR LOCATION OF REZONE <br /> South of 4710 Cedar Hill Road <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> VERMONT 5 <br /> PARCEL NUMBERSINVOLVED. PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <br /> 0706-052-9501-0 0706-052-9300-0 <br /> REASON FOR REZONE <br /> CREATING ONE RESIDENTIAL LOT <br /> FROM DISTRICT: TO DISTRICT: ACRES <br /> FP-35 Farmland Preservation District FP-1 Farmland Preservation District 8.19 <br /> FP-35 Farmland Preservation District RR-1 Rural Residential District 1.08 <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S SIGNATU •(Owner• Agent) <br /> REQUIRED? INITIALS <br /> ® Yes D No D Yes 0 No Yes No <br /> (/� ) RWL1 <br /> Applicant Initials `l / <br /> Applicant Initials ( " _ Applicant Initials f r4 PRINT NAME: <br /> (-77,r5 <br /> DATE: <br /> 3/6/0)06) <br /> Form Version 04.00.00 <br />