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L[g i,, (O <br /> DANE COUNTY Zoning Division I <br /> ,. PLANNING DEVELOPMENT Room 116, City-County Building <br /> � "^'-rK;' 210 Martin Luther King Jr. Blvd. <br /> --„ 1' Madison,Wisconsin 53703-3342 <br /> ' i Phone: (608) 266-4266 <br /> ''�?s�Fs. F Zoning Change Application <br /> Fax: (608) 267-1540 <br /> Items that must be submitted with your application: <br /> o Written Legal Description of the proposed Zoning Boundaries <br /> Legal description of the land that is proposed to be changed. The description may be a lot in a plat, <br /> Certified Survey Map, or an exact metes and bounds description. A separate legal description is <br /> required for each zoning district proposed. The description shall include the area in acres or square <br /> IF i <br /> feet. <br /> o Scaled Drawing of the location of the proposed Zoning Boundaries <br /> The drawing shall include the existing and proposed zoning boundaries of the property. All existing <br /> buildings shall be shown on the drawing. The drawing shall include the area in acres or square feet. <br /> Owner's Name J A(A G S e L L E c N Agent's Name <br /> Address nA(p� I (.00NTV 126 J Address <br /> Phone A(ACKK 64(2.7",/, WI: 535/5" Phone <br /> Go S - 67- 3553 <br /> Email ,- © Email <br /> ,/ • <br /> Town. V(12-4101\17 Parcel numbers affected: 0306022g001 l) 070603195oi3)0106aa4goo1 <br /> Section: fig- 2.,3 Property address or location: A(oa ( CoJn1 l2c • <br /> Zoning District change: (To/From/#of acres)-To Zia-1 Aiztvt A l.6' 2.4 A 10 Lc-i FR0wt #416)( 1,1 A j <br /> To R11-1 Flom A1.0 2A <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: 0 % Other.4 <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> O Separation of buildings from farmland <br /> 0 Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> O Other: <br /> SC.pAaAr& 6ceSTNG Rat 06AKE riZL0`t FA(I'7ll vNO fat S(LE to my 64o6Nr&►2. <br /> Cat- try A rvl '1j qL 1-61 Fag, n Y ilosiit)&;S <br /> R&zow& 2AL2t-5 %iZ A NEw (4-s(o6Nce <br /> I authorize that I am the o n r or hav a fission to act on behalf of the owner of the property. 2420(f 4t- <br /> Submitted By: 1 t Date: <br /> Af <br />