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1 <br /> i <br /> DANE COUNTY Zoning Division <br /> o �. ' j <br /> PLANNING LA N N I N C DEVELOPMENT Room 116, City-County Building <br /> v R ,m;�= 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> h 4„,:— Zoning Change Application Phone: (608) 266-4266 <br /> Fax: (608) 267-1540 <br /> Items that must be submitted with your application: <br /> 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 St. Louis Properties LLC Agent's Name Natural Heritage Land Trust, Caleb Pourchot <br /> Address US Highway 14 & Mill St Address 303 S Paterson St #6 <br /> Black Earth, WI 53515 Madison, WI 53703 <br /> Phone Phone <br /> (608) 767-3447 (608) 258-9797 <br /> Email Email caleb @nhlt.org <br /> Town. Mazomanie Parcel numbers affected: 080615396210 <br /> i <br /> Section: 15 IO Property address or location:US Highway 14 <br /> Zoning District change: (To/From/#of acres)CO-1 /A-2 / 1.26 acres ,/ <br /> % %/o <br /> Soil classifications of area (percentages) Class I soils: /o Class II soils: Other.:1 00 <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> O 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 /> Donation of land for public recreational trail purposes <br /> I authorize that I am the ow : or - mission to act on behalf of the owner of the property. 08/14/2013 <br /> Submitted By: /'� Date: <br /> �..ot-k ' )7o..r -L+1 /Lifvf•f / "-7'1'44' <br />