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<br />APPENDIX - APPLICATION FORMS <br /> <br />Slb_1II1 Rllllrl.111S <br /> <br />Before submitting your proposal, please check to make sure it includes all the information which is <br />required for the particular proposal. <br />A. Infonnation Required for All Changes of Land Use, Conditional Use Permits or Land <br />Divisions. <br />1. APPLICANT <br />Name: YA-flAeA Mj~'~L~ 1ASL. <br />Phone:"aA e~-416L <br />Address:"}> O--r;,ox Z"1-? ~aunai.lu- tP I <br />If not owner, state authority to apply for this change: <br />2. OWNER (if di.f(erent than ~plicant) <br />Name: l~~ K~, U,ec,lfHAu) <br />Phone: ~S B4q -4J~cz- <br />Address: 1>0 D6X Z-:r1- WMJN"/WUn;'" ,WJ <br />3. PROFESSIONAL SERVICES REPRESENTATIVES (Surveyor, Landscape Architect, Engineer, Attorney, <br />Contractor, Accountants. Please List Them All) <br />Name: Name: <br />Phone: Phone: <br />Address: Address: <br />Profession: Profession: : <br /> <br />Name: <br />Phone: <br />Address: <br />Profession: : <br /> <br />_ LOCATION & D~CRIPI10N OF LAND <br />Current Zoning: N I C <br />Parcel Number: 5eA' A~J.l1rlJ <br />Current Parcel Size: 16 -4 J <br />Parcel Address: ,..~ (jI4arNPL/~D i-f,ddl."ff'n WI <br />Legal Description Se-e ~ <br />Soil Type: Provide Dane County Soils Map SelT NA1" <br />Current use: Residential / Cropland / Other (explain) tpl/.~ 7 C.b~ 'IJAJ/J <br />5. ACrION REQUESTED (Circle requested changes & complete the information.) <br />A. Zoning change from to for acres. (Acreage of total parcel ) <br />B. Conditional Use Permit for IS 'I acres. <br />c. Land Division LCertified Survey Map, _Preliminary Plat, _ Final Plat) <br />6. WRI1TEN DFSCRIPTIVE STATEMENT providing the following information relating to the <br />applicant's request must be attached to this form. <br />a. A description of the project stating purpose, need that is being met, relationship to surrounding <br />properties and other information describing the project. <br />b. A time schedule for development. <br />c. Reasons why the property is suitable for the proposed use. <br />d. Are other sites available for the proposed use? <br />e. What circumstances justify the need for the proposed use at this location? <br />f Are there currently any violations of Town of Springfield or Dane County Ordinances on the property <br />at present time? <br />- g. Is the property to be improved? When? What improvements? <br /> <br />15 <br />