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4. . Dane County Application Fees <br /> ••litlDepartment of Planningand Development <br /> Zoning Division General: <br /> Farmland $991 <br /> $495 <br /> i' Preservation Area: <br /> Room 116,City-County Building — <br /> 181.1 210 Martin Luther King Jr.Blvd. commercial: $145 <br /> -.Cott ~/- Madison,Wisconsin 53703 • <br /> PERMIT FEES DOUBLE FORVIOIATIONS. <br /> ... _ • ADDITIONAL FEES MAY APPLY.CONTACT DANE COUNTY ZONING <br /> (608)266-4266 AT 608-266-4266 FOR MORE INFORMATION. <br /> REZONE APPLICATION <br /> APPLICANT INFORMATION <br /> Property Owner Name:RHODA SCHUSTER j Agent Name:COMBS&ASSOCIATES, INC. <br /> i Mailing Address: I Mailing Address: <br /> 87 N. UNION RD. Brooklyn, WI 535211 109 W. Milwaukee Street, Janesville, WI 535461 <br /> Email Address:N/A Email Address:RJCOMBS@COMBSSURVEY.COM I <br /> Phoned I Phone# 608-752-0575 <br /> PROPERTY INFORMATION <br /> Township:Rutland Parcel Number(s):052/0510-343-8501-3 <br /> Isection:34 Property Addressor Location:87 N. Union Rd. Brooklyn, WI 53521 <br /> REZONE DESCRIPTION <br /> Reason for the request.In the space below,please provide a brief but detailed explanation of the rezoning I 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 aviolation? <br /> relevant information.For more significant development proposals,attach additional pages as needed. Yes ■ No IN <br /> f l <br /> Existing Zoning Proposed Zoning Acres <br /> District(s) I District(s) <br /> FP-35 I RR-2 3 Acres with Buildings I . <br /> Applications will not be accepted until the applicant has met with department staff to review the application and <br /> 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 requirements <br /> apply for commercial development proposals, or as may be required by the Zoning Administrator. <br /> — <br /> B Scaled drawing of ,I II Legal description ❑Information for ; 8 Application fee(non- Y <br /> proposed property i of zoning i commercial development refundable), payable to the <br /> boundaries boundaries ' (if applicable) I Dane County Treasurer <br /> I certify by my signature that all information presented herein is true and correct to the best of my knowledge. I hereby <br /> give permission for staff of the Dane County Department of Planning and Development to enter my property for the <br /> purpose of collecting information to be used as part of the review of this application. I acknowledge that submittal of <br /> false or incorrect information may be grounds for <br /> denial of <br /> this application./1li <br /> Owner/Agent Signature / l --CSC i ft 3 c.r►7S- Date FI — I — 20 2c, <br /> li <br />