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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> 'L'• '' {? 210 Martin Luther King Jr. Blvd. <br /> \' ii, Madison, Wisconsin 53703-3342 <br /> s�"a_* 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?&ym Aro (j n qj Agent's Name 9AE 772 t' <br /> Address A W, 6M41Y1 J7 rovAlbo17Gi✓ Address Zci W. 6c€M4, i 1/4c 7- <br /> Phone Phone I' ' w .C31->o 2 <br /> . Zsr. 7/o0 boa. 6b3. 7 o o <br /> Email Email S <br /> e brown hot)ie ituteh,c . eat <br /> Town: AMA/ Parcel numbers affected: i2/Q -3 3Z q 11-11.0 `N <br /> Section: 01 Property address or location: ii/36 R/7G $.J `DovAl 7DW,Jt/,c% 0. <br /> Zoning District change: (To/ From /#of acres) —I merg Dot, 1 /L77a/1.) "r0 <br /> it 1. -/ W/711 our A ite.f'rPICrioA/ <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 /> ir6 /912C Af 4/11(6 7D ,e -20,10 7Hc pro fele ti 77) 7?f .rg k- <br /> ZONt.vG Cedkr/Regro, / An 7.Ctno✓I/✓C, 71/e Des k'_c re-rev ) <br /> 7x/Fr c7?9 c 77tc Rv11 /,'6i /iv75v 'n Kg"- 4' f4 t Aw Fig,/ <br /> I authorize that I am the owner or have permission to act on behalf of the owner of the property. <br /> Date: vx M .O7• FD/L/ <br /> Submitted By: f�� Jgl <br /> 7 <br />