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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> . "� ` } Madison, Wisconsin 53703-3342 <br /> :', ` " , Zoning Change Application Phone: (608) 266-4266 <br /> a <' 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 /> I 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 LED6141//ar--/-1feL, ` Agent's Name Ct tJQ , Il i a S06) <br /> I j G } <br /> Address 767 L ci 11� i1 _ C(ti�" _, Address 3C(P a) 0tt- , e IL <br /> Phone ` �O�✓,, //�/y / Phone <br /> ( N'-- 769 — v <br /> • <br /> Email Email r ' <br /> LJU/n Kirk Parcel numbers affected: C� �f / –c.274-/_ 000 -- C� <br /> Town f <br /> Section: 01 Property address or location: 767 e�A%Lc a Piyn ' <br /> Zoning District char": (To/ From/# of acres) <br /> 4 ;��- / �x f — ,-, ,3�.q v 1'"/ I <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: % Other:__ <br /> al <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> O Separation of buildings from farmland <br /> iti O Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> gi 1 O Ol;ier: e?�? � <br /> i— i c 5 Ol -4 d Sc rP , •- 4 , aA_ o o / C hive_, <br /> II z71/1r-m itc-r/t d ___ --6.5-(3-1 ±-lf_p_ , , a-Ad r e J--gvi- ej e---it_i-tr-it-tic/fAr . <br /> I authorize that amt e owner or have permission o ct on behalf o the owner of the property. //9 <br /> Submitted By�./ �` Date: — _ <br />