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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> ,�?? '�� 210 Martin Luther King Jr. Blvd. <br /> IC AL <br /> 11IC""�-'' ' <br /> ' Madison, Wisconsin 53703-3342 <br /> Zoning Change Application Phone: (608) 266-4266 <br /> sco 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 <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 F. ..02._ eMer>, M i�e. G.vnlS LAG Agent's Name , 5V,'n/ "oe / RLS,lag' <br /> Address 7Z N• h0G77/1,07i R.0, stin'f 2o'O Address 75-'. 14..FS-7wA-�d >. <br /> Phone Aj a,o)$On/, Lvi 5-7`7/7 Phone 41f is i.v) v✓2T 53717 <br /> Ge- Y.3 - 1444- 67s-- ?33- 75-3 0 <br /> Email Email <br /> -foryAe ;Ars( I ,S a a,Oi• c....cry, kfarkeGe. c-fc-r,e-Cr,O- GL <br /> Town: r'/ER 0/1/f9 Parcel numbers affected: 060iC 3 5-7 9$ 5 i c2 ?36 Z(3 73 <br /> Section: -GI 35' d- 3 6 Property address or location: 6G zz se4A,S6-r ode)to <br /> Zoning District change: (To/From/#of acres) A-Z(�) /4 -/ E> /j/, 3/ .4 <br /> .F_ <br /> Soil classifications of area (percentages) Class I soils: O. % Class II soils: 9 % Other: c)/ % <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 /> 0 Other: <br /> Ga vsT6.i,e--r, mot/ GF A ,04G- �9 0%/0 <br /> ��.s r 15.'< Fob PR i vA?E <br /> (.45r ,,,'•=�,°- y'ct f G✓.0 17),4 1,&- re..aA4d 2i2,6 F2i�TCA4E5 - mar/5-7-4 ae_TiGs?/ <br /> -7-c rice /i7/ /n/ 5f </.4,- M.-1,4 r z✓J r� 7�-/ `7 l- <br /> I authorize that I am the owner or ha e permission to act on behalf of the owner of the property. Z/z/.0.4- <br /> Submitted By: Date: i <br />