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1 <br /> DANE COUNTY <br /> PLANNING Q E V E LO P M Zoning Division <br /> a E N T Room 116, City-County Building <br /> 'v �, , 210 Martin Luther King Jr. Blvd. <br /> (;� , !; Madison, Wisconsin 53703-3342 <br /> t y ' " Zoning Change Application Phone: (608) 266-4266 <br /> SC— 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 /> 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 ;1� K-- c_L Agent's Name '� IL L L. L <br /> Address ( ? --- _,,ali ' s---)f- Address <br /> 14-CQI.'ZC.v Lc� -1-2(1..Y ( ✓Z <br /> Phone �i S t 5-73 ) 6 Phone �V'w k.k 11 LJ, 5352 i <br /> cQv3 04-10 (t)Z3 <br /> Email Email <br /> Ff YuL, I C iSv� <br /> j <br /> Towr enwt‘16�� Parcel numbers affected: 9 vi/.r C2 �b-23`f C <br /> Section: 01 Property address or location: t�,-3 ' -C >rl de I 16 <br /> Il alt�G/i v�vt �l ��'� <br /> Zoning District change: (To/From/#of acres) 1 (. <br /> • <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: % Other: % <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 /> O Other: <br /> C3 Lb ‘-e.,(71- . �{ C LA.S.5 e�ri <br /> C ii : 6-u.4C:) S� • "� et-�=f✓ S ttG �- t-{CJ 'VC,-S <br /> Lc.�/w(� tl k y-,k...e �yv 2 u '( c.L7 c4 i-t-c72 <br /> -- V c-5 l2-e-t lit tj. - ,Vv:.... <br /> I authorize that I am the owner or have s r rmissi to act on behalf of the owner of the property. <br /> Submitted By: Date: -- j 4 `f <br />