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DANE COUNTY Zoning Division <br /> PLANNING' DEVELOPMENT Room 116,City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> 0 Madison,Wisconsin 53703-3342 <br /> P < y Zoning Change Application Phone: (608)266-4266 <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 /> 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 Scott Reamer Agent's Name Wisconsin Mapping LLC <br /> Address 1161 W. Medina Rd Marshall, WI. Address 306 W. Quarry St. Deerfield, WI. <br /> Phone Phone <br /> (608)772-4214 (608)764-5602 <br /> Email Email <br /> wismapping @charter.net <br /> Town' Medina Parcel numbers affected: 0812-311-9500-0,0812-322-9070-8 <br /> Section: 31 Property address or location: 1292 W. Medina Rd., Deerfield,WI.53531 <br /> Zoning District change: (To/From/#of acres)3.2 acres to A2(2)from A-1(EX) <br /> Soil classifications of area(percentages) Class I soils: 0 % Class II soils: 15 % Other:85 % <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 /> © Compliance for existing structures and/or land uses <br /> O Other: <br /> to create a buildable lot for a home containing existing out buildings <br /> I authorize that I am the owne or have permi .8 o act on behalf of the owner of the property. ,J c I I Li <br /> Submitted By: Date: [/ / <br />