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Application Fees <br /> �S`: d General: $395 <br /> o�%" L�' Depart.. .4.of Planning and Development <br /> U ' :.S•c`t Farmland Preservation: $495 <br /> �• Zoning Divisw.� <br /> Fa� 1' Room 116,City-County Building Commercial: $545 <br /> p_ :, ? 210 Martin Luther King Jr. Blvd. • PERMIT FEES DOUBLE FOR VIOLATIONS. <br /> I`QCOIag Madison,Wisconsin 53703 • 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: Patrick fi j)(1 ,1-1 Agent Name: David Riesop <br /> Address(Number&Street): 4219 Oak Park Road Address(Number&Street): 306 West Quarry St <br /> Address(City,State,Zip): }Deerfield, Wi 53531 Address(City,State,Zip): Deerfield, Wi <br /> DE— r1 2 f1? ,I4 Czall <br /> Email Address: Email Address: wismapping Ct@charter.net <br /> Phonetl: 608-279-1059 Phonetl: 608-764-5602 <br /> PROPERTY INFORMATION <br /> Township: Medina Parcel Number(s): 0812-024-9020-9 <br /> Section: 2 Property Address or Location: 286 Canal Road, Marshall, Wi <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? <br /> relevant information.For more significant development proposals,attach additional pages as needed. Yes No Ell <br /> Create parcel araound existing farm buidlings for son of one of the owners <br /> Existing Zoning Proposed Zoning Acres <br /> District(s) District(s) <br /> FP-35 rr-2 3.9 <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 Iii Legal description 0 Information for 0 Pre-application 0 Application fee(non- <br /> proposed property of zoning commercial development consultation with town refundable), payable to <br /> boundaries boundaries (if applicable) and department staff 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 that he/she has the consent of the owner to file the application. <br /> ciiOwner/Agent Signature Pritf.,A Date 1) <br />