DCPREZ-2021-11691 - Laserfiche WebLink

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*MA .1111111111111111111111112 tx Dane County Application Fees 3 z Department of Planning and Development General: $395 Zoning Division Farmland Preservation: I $495 j a' , Room 116,City-County Building 64210 Martin Luther King Jr.Blvd. Commercial: $545 . PERMIT FEES DOUBLE FOR VIOLATIONS. Madison,Wisconsin 53703 • ADDITIONAL FEES MAY APPLY.CONTACT DANE COUNTY (608)266-4266 ZONING AT 608-266-4266 FOR MORE INFORMATION. REZONE APPLICATION APPLICANT INFORMATION Property Owner Name: Adam Carrico Agent Name: Noa Prieve Address(Number&Street): 1926 N Kollath Rd Address(Number&Street): 104 A. West Main St Address(City,State,Zip): Verona, WI 53593 Address(City,State,Zip): Waunakee, WI 53597 Email Address: adam@carricoengineering.com Email Address: noa@williamsonsurveying.com Phone#: 608-213-9718 j Phone#: 608-255-5705 PROPERTY INFORMATION Township: I Springdale Parcel Number(s): 060725293607, 060725385008, 060725390001 Section: 25 Property Address or Location: REZONE DESCRIPTION Reason for the request.In the space below,please provide a brief but detailed explanation of the rezoning Is this application being request.Include both current and proposed land uses,number of parcels or lots to be created,and any other submitted to correct a violation? relevant information.For more significant development proposals,attach additional pages as needed. Yes El No Existing Zoning Proposed Zoning Acres District(s) District(s) AT-35 SFR-2 2.00 AT-35 SFR-2 4.00 AT-35 RM-16 68.23 Applications will not be accepted until the applicant has contacted the town and consulted with department staff to determine that all necessary information has been provided. Only complete applications will be accepted. All information from the checklist below must be included. Note that additional application submittal requirements apply for commercial development proposals,or as may be required by the Zoning Administrator. ❑Scaled drawing of ❑Legal description 0 Information for 0 Pre-application ( 0 Application fee(non- proposed property of zoning commercial development consultation with town refundable), payable to boundaries boundaries (if applicable) and department staff the Dane County Treasurer I certify by my signature that all information provided with this application is true and correct to the best of my knowledge and understand that submittal of false or incorrect information may be grounds for denial. Permission is hereby granted for Department staff to access the property if necessary to collect information as part of the review of this application.Any agent signing below verifies that he/she has the consent of the owner to file the application. Owner/Agent Signature Date