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Dane County Rezone Petition Application Date Petition Number <br /> 02/09/2021 <br /> Public Hearing Date DCPREZ-2021-11677 <br /> 04/27/2021 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> SHARON EDWARDS Code) WILLIAMSON SURVEYING AND Code) <br /> (608)845-9390 ASSOCIATES (608)255-5705 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 7226 PINE ROW RD 104A W MAIN STREET <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA, WI 53593 WAUNAKEE, WI 53597 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> shartaxlady@tds.net CHRIS@WILLIAMSONSURVEYING.COM <br /> ADDRESS/LOCATION 1 ADDRESS/LOCATION 2 ADDRESS/LOCATION 3 <br /> ADDRESS OR LOCATION OF REZONE ADDRESS OR LOCATION OF REZONE ADDRESS OR LOCATION OF REZONE <br /> 7222 Pine Row Road <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> VERONA 28 <br /> PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED PARCEL NUMBERS INVOLVED <br /> 0608-281-8785-0 <br /> REASON FOR REZONE <br /> DIVIDING AN EXISTING RESIDENTIAL LOT INTO TWO LOTS <br /> FROM DISTRICT: TO DISTRICT: ACRES <br /> RM-8 Rural Mixed-Use District RR-4 Rural Residential District 11.93 <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 04.00.00 <br />