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?.emu ; <br /> Dane County Application Fees <br /> 1 t'} General: $395 <br /> `'� �'� Department of Planning and Development — — — - . <br /> In riZoning Division € Farmland Preservation: $495 <br /> Room 116,City-County Building I m � <br /> i' Commercial: $545 <br /> V rltz;.s`,, 210 Martin Luther King Jr.Blvd. , <br /> �+ PERMIT FEES DOUBLE FOR VIOLATIONS. <br /> �f�.ii1`�'� Madison,Wisconsin 53703 • ADDITIONAL FEES MAY APPLY.CONTACT DANE COUNTY <br /> (608)266-4266 t ZONING AT 608-266-4266 FOR MORE INFORMATION. <br /> REZONE APPLICATION <br /> APPLICANT INFORMATION <br /> Property Owner Name: Monte and Roxi Maier Agent Name: Daniel Marks <br /> Address(Number&Street): 7113 Kippley Road Address(Number&Street): 504 Cedar St <br /> Address(City,State,Zip): Sauk City, WI 53583 Address(City,State,Zip): Sauk City, WI 53583 <br /> Email Address: roximaier@gmail.com Email Address: danielmarks00@gmail.com <br /> Phone,: I(48{})-6.2$.5 -M 310. iri'J7 Phone#: (608)434-3034 <br /> PROPERTY INFORMATION <br /> Township: Roxbury Parcel Number(s): 090721232531 090721231989 <br /> Section: 21 Property Address or Locations 7113 Kippley Road <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. Yesn No n <br /> Doing a lot line adjustment between Lots 24 and 19 of Schoon Place. The portion of Lot 19 that is being added to <br /> Lot 24 needs to be changed to RR2 zoning. <br /> Existing Zoning Proposed Zoning Acres <br /> District(s) District(s) <br /> SFR-08 RR2 .08 <br /> 1 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 /> IR Scaled drawing of IR Legal description . 0 Information for 8 Pre-application 8 Application fee(non- <br /> proposed property of zoning commercial development consultation with town refundable), payable to <br /> boundaries boundaries l (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 /> Daniel Marks: �d-Dganien,aMn.7'bWvo <br /> e.Fsd 6wq o 1/7/21 <br /> Owner/Agent Signature Date:2021.01.07 6622M-0O Date <br />