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-- Dane County Application Fees <br /> O' General: - ' - <br /> }'; I Department of Planning and Development -- - -� <br /> ' Farmland Preservation: it 191`1 495 <br /> G 1�1• Zoning Division <br /> _' ,y ;q Room 116,City-County Building Commercial: <br /> 210 Martin Luther King Jr.Blvd. • PERMIT FEES DOUBLE FOR VIOLATIONS. <br /> 'CO 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: Wesley Halverson Agent Name: 'Chris Miller <br /> Address(City,State,Zip): i53531 Address(City,State,Zip): <br /> Address(Number&Street): 50 N Main St. 3186 Kinney Rd. <br /> Address(Number&Street). <br /> 'Deerfield, wl ',Cottage Grove, Wi 53527 <br /> Email Address: halversonw@icloud.com Email Address: !chris.miller.construction@gmail.com <br /> Phone*: 608-669-5783 Phone*: 608-206-1106 <br /> PROPERTY INFORMATION <br /> I i <br /> Township: 'Deerfield Parcel Number(s):1024/0712-332-9001-1 <br /> Section: 33 Property Address or Location:) <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. YesLJ No El <br /> Current land use is Ag (FP-35). We would like to build one single family home on a newly created 2.6 Acre lot at our home <br /> farm in Deerfield. The driveway would come off Nuland Rd. See attached map. <br /> Existing Zoning Proposed Zoning Acres <br /> District(s) District(s) <br /> FP-35 1 RR-2 2.6 <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 /> B Scaled drawing of I9 Legal description El Information for a Pre-application E Application fee (non- <br /> proposed property of zoning commercial development consultation with town refundable), payable to <br /> boundaries boundaries (if applicable) i and department staff i 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 t h has the consent of the owner to file the application. <br /> Owner/Agent Signatur Date 10/22/20 <br />