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POTICE OF kEZORING OR CONDITIONAL USEISPECIAL EXCEPTION Wisconsin Depaftn►ert pf Agriculture <br />IN THE EXCLUSIVE AGRICULTURAL DISTRICT Trade and Consumer Protection <br />(Under the Farmland Preservation Law, Ch. 91, Wis. Stats.) 41 G7zJ/�7 Bureau of Land and Water Resources <br />�/ 2811 Agriculture Drive, PO Box 8911 <br />Please send us this form when rezones from or CUPs1SEPs in the Exclusive Agricultural District are approved. Madison, WI 53708.8911 <br />Local Rezone #:,*"11'17 Application Date: .3- S- t Public Hearing Date: A-, c - <br />Information uepartment 1f <br />I1.(owfilVillagelCityof: f 1-rj;�i-, County: 17), --r <br />2. This Notice is for: Rezoning .'(From: A' To: CUPISEP [ ] Both [ J <br />3a. Owner's name at time of Rezoning: - <br />phone number. (_) P 73 -.2 Z- 17 <br />Address (city, state, zip code) 3 ( O f „% 4 ; Six~ �-� f� '- ► - 1��� r,? S <br />3b. Person, business or government initiating rezone <br />z�,r <44...-y phone number.(_) <br />Address (city, state, zip code) <br />3c. If the land is being annexed, Municipality: Contact: phone 1_) <br />4. location of the Property granted rezone or CUPISEP o i=�- <br />114114 Section Town Range .- <br />r rc f ! �N <br />N <br />Parcel Number(s) before rezoningICUP (parcels involved) !/ � <br />c/ ri IS S- -7Y-// <br />7- f - - s(- ter- b — "'t,. /-r /m <br />5. Land Area and Improvements ,SIE — / <br />Total Acreage: in farm before rezone: , i47- in parcel before rezone: , % in-E4elusive g. Dist. <br />How many acres were rezoned out of exclusive agricultural district or granted CUPISEP? - tri C_ <br />Were there improvements on the original parcel? yes6o_ '`'_ " ► 9 r �� <br />What percentage of the improvements were rezoned I granted a CUPISEP? 2i S� <br />6. Conditional Use I Special Exceptions in Exclusive Agricultural District <br />What is the type of CUPISEP? <br />a. Agricultural (please specify use) d. governmental ( ) <br />e. religious <br />b. Agricultural -related (please specify use) f. utility ( ) <br />other (please specify use) <br />c. Institutional ( ) <br />Please confirm that findings were made that CUPsISEPs in the Exclusive Agricultural District are "consistent with agricultural use.' They must <br />meet all of the following conditions: <br />( ] The activity will not convert land that has been devoted primarily to agricultural use. <br />[ ] The activity will not limit the surrounding land's potential for agricultural use. <br />[ J The activity will not conflict with agricultural operations on land subject to farmland preservation agreements. <br />[ J The activity will not conflict with agricultural operations on other properties. <br />If the land was not rezoned, please skip to Question 9 <br />No <br />