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Dane County Rezone Petition Application Date Petition Number <br /> 12/14/2020 <br /> Public Hearing Date DCPREZ-2020-11648 <br /> 02/23/2021 <br /> OWNER INFORMATION AGENT INFORMATION <br /> OWNER NAME PHONE(with Area AGENT NAME PHONE(with Area <br /> SCREAMIN' NORWEGIAN FARMS LLC Code) ROYAL OAK ASSOCIATES Code) <br /> (608)345-6315 (608)274-0500 <br /> BILLING ADDRESS(Number&Street) ADDRESS(Number&Street) <br /> 1893 US HIGHWAY 12 & 18 3678 KINSMAN BLVD <br /> (City,State,Zip) (City,State,Zip) <br /> COTTAGE GROVE, WI 53527 Madison, WI 53704 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> punkyskaar@gmail.Com tthorson@royaloakengineering.com <br /> ADDRESS/LOCATION 1 ADDRESS/LOCATION 2 ADDRESS/LOCATION 3 <br /> ADDRESS OR LOCATION OF REZONE ADDRESS OR LOCATION OF REZONE ADDRESS OR LOCATION OF REZONE <br /> East of 1884 Skaar Road <br /> TOWNSHIP SECTION TOWNSHIP SECTION TOWNSHIP SECTION <br /> COTTAGE GROVE 26 11 <br /> _r... 4 ,I MB RS;r NVO .. A.C±, 'Tr` 7v 1 ",�-44s,:,BrfL 4` ! ; <br /> 0711-264-8001-0 <br /> REASON FOR REZONE <br /> CREATING ONE RESIDENTIAL LOT <br /> eimmin RO DIS. RIC t IS =,CT -ato <br /> FP-35 Farmland Preservation District SFR-1 Single Family Residential District 1.99 <br /> C.S.M REQUIRED? PLAT REQUIRED? DEED RESTRICTION INSPECTOR'S SIGNATURE:(Owner or Agent) <br /> REQUIRED? INITIALS <br /> Yes ❑No ❑ Yes No ❑ Yes ® No f <br /> RWL1 <br /> Applicant Initials Applicant Initials Applicant Initials PRINT NAIVE: <br /> �f Irv- LI012s0 K-f- <br /> DATE: <br /> Form Version 04.00.00 <br />