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DANE COUNTY Zoning Division PLANNING ❑E V E LO P M E N T Room 116, City-County Building o t r? 1a f 210 Martin Luther King Jr. Blvd. , Madison, Wisconsin 53703-3342 Zoning Change Application Phone: (608) 266-4266 ' —--t- Fax: (608) 267-1540 Items that must be submitted with your application: o Written Legal Description of the proposed Zoning Boundaries ' Legal description of the land that is proposed to be changed. The description may be a lot in a plat, Certified Survey Map, or an exact metes and bounds description. A separate legal description is required for each zoning district proposed. The description shall include the area in acres or square feet. o Scaled Drawing of the location of the proposed Zoning Boundaries The drawing shall include the existing and proposed zoning boundaries of the property. All existing buildings shall be shown on the drawing. The drawing shall include the area in acres or square feet. 1 Owner's Name g � 1 r�v Agent's Name d , e,,,,,,-r-e. 1 Address Odi _ A i A F „ 1 Address l��JUZ�' Ut/_ai /ti( d tjy�� Phone �`35?� Phone S>fU ?Cl - 3 00- .7!- .- MO Email Email / ' ./� Gt! W. Milt, z, Town. - Parcel numbers affected: d 07 S Section: kr t7 Property address or location: i&c / 441 &(le Zoning District change: (To/Fro /#of acres) Ai K 46 ,42- 2��775 z✓ldt ac/'G'S 1i/1 S/.2� 7"-4,1 q+ GrGS fr7 Soil classifications of area (percentages) Class I soils: % Class II soils: % Other: % Narrative: (reason for change, intended land use, size of farm, time schedule) ,e,f 0/ /2- j&'ly' ® Separation of buildings from farmland I. � �/ GHQ �� e Creation of a residential lot © y ® Compliance for existing structures and/or land uses O Other: 4 b. /-/A 49. , I authorize that I am the owner. - p fission to act on behalf of the owner of the property. /6'Submitted By: �— Date: