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- <br /> DANE COUNTY Zoning Division <br /> PLANNING`,, DEVELOPMENT Room 116, City-County Building <br /> 64, °tt 210 Martin Luther King Jr. Blvd. <br /> /i` -,t --� `.- . . Madison, Wisconsin 53703-3342 <br /> \-, - 9Y;,',: 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 JAMES G BELDAM,RanLy G. LwngEr Agent's Name Birrenkott Surveying <br /> Address 3840 COUNTY HIGHWAY V Address 1677 N. Bristol Street <br /> DE FOREST WI 53532 Sun Prairie, WI. 53590 <br /> Phone Phone <br /> (608)846-5857 (608)837-7463 <br /> Email Email <br /> akasper@birrenkottsurveying.com <br /> Town Windsor Parcel numbers affected: 068/0910-033-9800-0&068/0910-033-9835-0 <br /> Section: 03 Property address or location:3840 COUNTY HIGHWAY V <br /> Zoning District change: (To/From/#of acres)R-1 /A-1 (EX) / 0.83 <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: 100 % Other:_ % <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> O Separation of buildings from farmland <br /> © Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> O Other: <br /> Adjusting the rear Lot line of LOT 2 so a garage addition can be constructed on to <br /> the existing home. <br /> I authorize that I am the • erbr have permission to act on be1'. of the .wrier of the property. / / <br /> Submitted By: - Date: $ <br />