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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> le, ;tel 210 Martin Luther King Jr. Blvd. <br /> tF <br /> Madison, Wisconsin 53703-3342 <br /> 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 v L L 1•■-t-' 0 0-2'2 ��� Agent's Name cSiz:) <br /> Address �� 1 �( 1��"� Address }S/ v-% f, b -; : r: • -� J <br /> Phone <br /> ES re,ZI,ce-C?? 2 - L.S` 7 Phone �� S 7 7� . .� 5'cT <br /> Email Email <br /> Town �L`z_-€6> P <br /> Parcel numbers affected: 01,0110/1"1-1.o sf QQ F jprL, <br /> Section: 01 ,D ..\ Property address or location: /37) 5-0,,) <br /> Zoning District change: (To/ From /#of acres) /T' C-a .c- (. L 1� - .. <br /> Lb <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 /> O Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> O Other: <br /> N C C\-`Z -C (1.-"e\.. <br /> 4\--1-- <br /> I authorize that I am the owner or have ermission to act on behalf of the owner of the property. <br /> Submitted By: O n o Date: 371/ <br />