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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> ?4 , 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> Zoning Change Application Phone: (608) 266-4266 <br /> s <br /> % <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 /> feet. <br /> 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 , y Chnft5 l'2nIZ�0 _ Name AAtkCL� ake y Gvt\C, <br /> CJA <br /> Address 2$ ( Prate �',,�(1 KJ`. Address '2`1P- /U m v)/ezf g;d�G $ ark. <br /> et-0 t,.)i s 5-13 oi - ?Z , - 7//lv <br /> Phone Phone <br /> Email Email <br /> Town-Wirt,>-(._ Parcel numbers affected: 0 5-9'/ D7 -/' r 9�SS- <br /> Section: 01 Property address or location: 25 B i Prx r i.L A.9.9.c kJ <br /> Zoning District change: (To/From/#of acres) .1 -t 6i�4 i s i 1 CO M.iKJi C t ed Z _O e) <br /> lot s 1j—� <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: % Other:_ °A) <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> O Separation of buildings from farmland <br /> • Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> 0 Other: RECEIVED <br /> • <br /> JUL 2 2014 <br /> DANE COUNTY PLANNING&DEVELOPMENT <br /> I authorize that I am the owner or have permission to act on behalf of the owner of the property. - �y <br /> Submitted By: ,� � de—r" Date: <br />