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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room116, Cit Count Building <br /> City-County g <br /> 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> Pi Zoning Change Application Phone: (608) 266-4266 <br /> Pia: (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 /> 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 SAUEY REV TR, FLOY A. Agent's Name Sonja Stauffacher <br /> Address 715 Lynn Avenue, Ste 100 Address 715 Lynn Avenue, Ste. 100 <br /> Baraboo, WI 53913 Baraboo, WI 53913 <br /> Phone Phone <br /> (608) 356-0136 (608) 356-0136 <br /> Email Email <br /> fsauey @nordicgroup.com sstauffacher @nordicgroup.com <br /> Town: Burke Parcel numbers affected: 081022498507 <br /> Section: 28 Property address or location: 3696 Burke Road, Burke <br /> Zoning District change: (To/ From /#of acres)A-1 / C-1 / 0.568 acres <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: 3+ % Other:7O % <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> © Separation of buildings from farmland <br /> O Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> O Other: <br /> Building that was on premise has been destroyed and concrete replaced by grass. <br /> Want to make available for farmland with adjacent parcels. <br /> I authorize that I am or or have p rmission to act on behalf of the owner of the property. <br /> Submitted By: Date: ) LI <br />