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DANE COUNTY Zoning Division <br /> - •"a1" ` oom , Cit - <br /> count Building <br /> 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342{4- , <br /> Phone: (608) 266-4266 1 <br /> „fags 73--4- Zoning Change Application 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 theproposed 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 T1�,�� 5 hl DT Agent's Name Jon /7?1z..1/Z M <br /> Address //1ci/ L,.JA L" ...jy Rd Address I 70 (43 / 5) AJc'✓U' <br /> Phone «� 5353/ Phone /ta C5e'fteld 'O-r 5 3`T 3� <br /> Email Email <br /> ihalv -/ e v\I-i cr. c )k-►-1 <br /> Town:) L154—r-/Gy6 Parcel numbers affected: en/ol— 1 " sloe)/ ' Z <br /> Section: q Property address or location://q/ 4 j) �f- i.d 611-51... .._O f` 1t,C j 3`i)I I <br /> Zoning District change: (To/From/#of acres) F449111_` // fD • - I X <br /> i <br /> Soil classifications of area (p e r c e n t a g C l a I soils: % Class I I soils: % Other: % <br /> 3&- CN Ct'1Cam( <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> I 0 Separation of buildings from farmland <br /> 0 Creation of a residential lot <br /> 0 Compliance for existing structures and/or land uses j <br /> 0 Other: <br /> IZE- 2-0N /-'lb. 4-61u p 01 Z—Or lv 'I A• 50 /-h i s /)/9-K-e-4 Q_ <br /> 67-0,-1 h e_ e 1 (./u /4 e,r /4 /YI 1 ✓ rime& e>< 74rac.:-17b4 6(.4 0 j <br /> /oV Aei i 1bvrt- (.Q �,I cl.cr�j <br /> 1 <br /> 1 <br /> I authorize that I am the ow r or have per ission to act on behalf of the owner of the property. /c� I <br /> Submitted By: - Date: / / ( �� <br />