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Dane County Application Fees <br /> z;1 1r'' kAij. Department of Planning and Development General: $395 <br /> Zoning Division Farmland Preservation: $495 <br /> ,, 1 Room 116,City-County Building <br /> Commercial: $545 <br /> 210 Martin Luther King Jr.Blvd.g • PERMIT FEES DOUBLE FOR VIOLATIONS. <br /> Madison,Wisconsin 53703 <br /> Ols_ ADDITIONAL FEES MAY APPLY.CONTACT DANE COUNTY <br /> (608)266-4266 ZONING AT 608-266-4266 FOR MORE INFORMATION. <br /> REZONE APPLICATION <br /> APPLICANT INFORMATION <br /> Property Owner Name: sharon blechinger Agent Name: williamson surveying <br /> Address(Number&Street): 6437 Woodland Tr Address(Number&Street): 104a W Main St <br /> _ <br /> Address(City,State,Zip): Dane,WI 53529 — Address(City,State,Zip): Waunakee,WI 53597 <br /> Email Address: Email Address: chris@williamsonsurveying.com <br /> Phone#: [608-370-2647 Phonea: 608-255-5705 <br /> PROPERTY INFORMATION <br /> Township: Roxbury T Parcel Number(s):�0907-262-8501-0 <br /> Section:• 26 Property Address or Location:6890 Breunig Rd <br /> REZONE DESCRIPTION <br /> Reason for the request.In the space below,please provide a brief but detailed explanation of the rezoning Is this application being <br /> request.Include both current and proposed land uses,number of parcels or lots to be created,and any other submitted to correct� a violation?IS <br /> relevant information.For more significant development proposals,attach additional pages as needed. YesL No I <br /> Sharon is looking to separate the existing house and farm buildings from the rest of the agricultural land. <br /> Existing Zoning Proposed Zoning Acres <br /> District(s) District(s) <br /> FP-35 RR-2 3.89 <br /> Applications will not be accepted until the applicant has contacted the town and consulted with department staff <br /> to determine that all necessary information has been provided. Only complete applications will be accepted. All <br /> information from the checklist below must be included. Note that additional application submittal <br /> requirements apply for commercial development proposals,or as may be required by the Zoning Administrator. <br /> ®Scaled drawing of a Legal description 0 Information for ®Pre-application IIB Application fee(non- <br /> proposed property of zoning commercial development consultation with town refundable), payable to <br /> boundaries boundaries i (if applicable) 1 and department staff 1 the Dane County Treasurer <br /> I certify by my signature that all information provided with this application is true and correct to the best of my knowledge <br /> and understand that submittal of false or incorrect information may be grounds for denial.Permission is hereby granted for <br /> Department staff to access the property if necessary to collect information as part of the review of this application.Any <br /> agent signing below verifies th•• /she has the :'sent of the owner to file the application. L� �� ` <br /> Owner/AgentSignatur= _ Date /— /a1Oo r <br />