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Pr <br /> DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> a �\ 210 Martin Luther King Jr. Blvd. <br /> � ---_ Madison, Wisconsin 53703-3342 <br /> sx=� _ Zoning Change Application Phone: (608) 266-4266 <br /> - Fax: (608) 267-1540 <br /> Items that must be submitted with your application: <br /> 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 /> 1 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 /> � p-Owner's Name LJo N a L °k 1\a ri f, PCU,� , Agent's Name <br /> W LU ar1 pa,L,LL <br /> Address ° .,` t-1 R\U-e e" SA-. E-1e,u i�U Address b �) wy. (:) 13 <br /> g -� ti-`3 cZ3`.. Phone Z�2` P v f LLB u 558 <br /> Phone 1 <br /> Email Email <br /> Pry , Rev. i,iv ►�, Email L?ok L: itg V.ix-S5-t e.S.Met- <br /> -2 <br /> Town:ND NDS - Parcel numbers affected: (. SO g ^dq'" ,—a5C)C)-O <br /> T61-1, 12 H rfrase <br /> Section: 01 ('s 9 Property address or location:sc tL��, iS'�o rah e 5e., o��" .& .tj j oFS-q <br /> Zoning District change: (To/ From/#of acres) R -`1 h-c, -rii A - I �X. a at.. atice,S <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: iO % Other.22 % <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 /> I <br /> 1 <br /> I authorize that I am the owner or have permission to act on behalf of the owner of the property. ���� / <br /> Submitted By: a) am PC _ - Date: `7 <br />