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DANE COUNTY Zoning Division <br /> �¢_ PLANNING DEVELOPMENT Room 116, City-County Building <br /> v A;;} 210 Martin Luther King Jr. Blvd. <br /> j ,, -='✓! Madison, Wisconsin 53703-3342 <br /> '4is -- ; Zoning Change Application Phone: (608) 266-4266 <br /> c°r'g 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 ir <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 4-12./6 fia vcgt. Agent's Name <br /> Address 34. / CC iJC'_O it b DR Address <br /> Phone 60 S • A 1141 cV• 02 VQ d Phone <br /> Email g ra J e r e. g, F ats ridEgra,com Email <br /> ,r 1 <br /> Town: 11 ErLMoa�1 Parcel numbers affected: 07 en (D Q 3 3 9 7'// <br /> Section: 01 Property address or location: PM ' 14/2 jL v F Mb vN6S rift, <br /> Zoning District change: (To/From /#of acres) A/ —nt, TD R//- / <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: % Other: ' <br /> I <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> 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 /> /OD //tee" <br /> i, e TO tsrr�Kr-7r 1"o.,-, E" /��-� <br /> . �,,. -v ,7 o Ff Tf-/t FAf r» T-a S€LZ . <br /> ______4i Luthorzethat ai I am the owner or hav permission to act on behalf of the owner of the property. y/2 Z/l / <br /> ubmitted By: cC4 Date: / `+ <br />