<p> Town of Eldorado - Fond du Lac County, Wisconsin CONCEPT PLAN APPLICATION MINOR LAND DIVISION, REZONE or OTHER</p><p>OwnerName:______Date: ______</p><p>Address: ______</p><p>Phone: ______Email:______</p><p>Surveyor / Engineer Name:______</p><p>Phone: ______Email:______</p><p>Property Address (if different from Owner address): ______</p><p>Location of Property: _____ ¼ _____ ¼, Section _____, Tax Parcel #: ______</p><p>Present Use of Land:______</p><p>Acreage of Parent Parcel: ______Current Zoning of Parent Parcel:______</p><p>Acreage of Proposed Parcel:______Zoning of Proposed Parcel:______</p><p>Is parcel part of a Base Farm Tract (contiguous acres zoned as exclusive ag)? ______</p><p>Number of acres in Base Farm Tract: ______</p><p>Reason for Land Division:______</p><p>Any other proposed plans for property:______</p><p>Anticipated Timeframe for Project:______</p><p>Names and Addresses of Adjacent Landowners: ______Town of Eldorado - Fond du Lac County, Wisconsin CONCEPT PLAN APPLICATION MINOR LAND DIVISION, REZONE OR OTHER</p><p>Additional Comments: ______</p><p>Application Checklist: (The Applicant shall submit twelve (12) copies of the concept plan application packet. The Town of Eldorado will not accept any application for a Concept Plan until the following information and materials are submitted in their entirety) Concept Map, including all of the following (please check):</p><p>• A north arrow, date, and a reference to a section corner ____ • All navigable waters, watercourses, and drainage ditches ____ • All existing and proposed structures ____ • Location of water wells, sewerage systems, and similar features ____ • The location of existing roads, highways, developments, trails, and driveways and distances to the nearest adjoining highways, roads, or driveways on all sides of the proposed site ____ • The location of general land cover types ____ • The location of any slopes of 12% or greater ____ • The uses of the land immediately adjacent to the property including existing roads; location of an known easements and restrictions of record; public access to navigable water; dedicated areas and utilities on or adjacent to the land ____ • The location of any and all secondary conservation areas as identified in Section 18.57 of this ordinance ____</p><p>Professional Services: All costs of professional services such as legal, engineering, and planning review; research; recording fees; and traffic control costs related to any action initiated by a responsible party, other than the Town, to be reviewed or acted upon by the Town of Eldorado PlanCommission, Board of Appeals, or Town Board shall pass to the responsible party. The application packet shall be submitted to the Town Clerk, Town of Eldorado, PO Box 8, Eldorado,WI 54932. The Plan Commission will review the application packet and, if applicable, the recommendation from Town Staff before making a recommendation to Owner regarding any necessary revisions or additional information to be completed and submitted with the Application for a Minor Land Division, Rezone or Preliminary Plat.</p><p>Signed: ______Date: ______Property Owner</p>