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DANE COUNTY Zoning Division <br /> PLANNING N N I N G <br /> DEVELOPMENT Room 116, City-County Building <br /> �a '° 210 Martin Luther King Jr. Blvd. <br /> ,QUO +'a Wisconsin 53703-3342 <br /> �., '': Madison, <br /> \ Zoning Change Application Phone: (608) 266-4266 <br /> wals= Fax: (608) 267-1540 <br /> Items that must be submitted with your application: <br /> q1 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. i <br /> o Scaled Drawing of the location of the proposed Zoning Boundaries II <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 Oo rn it f z uG I�,u S -f-- Agent's Name 7 o,_ a r 11 +Z ii/t— <br /> Address 7 &5 6 4- Zc�..,-.e s s-2` Address -76, 6 5 * 0,,,,,,e 56Y- <br /> Phone <br /> C'e 't �� (1 D v C. (4,)T S 3S a-"7 Phone 14le (oto, �.L 535 t 7 <br /> bog 133q - D5-13 G© ' 'a '9 05/3�gc 9 '11 ' <br /> Email Email r <br /> b 4a )\ao mama , f . rcrw Jb u 11ao �rnct , ( , Cary <br /> Town. yD r K Parcel numbers affected: o't 2- 7 a`{- - 47 <br /> Section: 01 Property address or location: / 0-5 (, 'Dm TT hi 10r5 -74// Ii,, 5355`7 <br /> Zoning District change: (To/ From/#of acres) Fror✓I r+ . €-V. F ? <br /> Soil classifications of area(percentages) Class I soils: % Class II soils: % Other:_ % <br /> I <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> O Separation of buildings from farmland <br /> O Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> 5 /� /, <br /> • Other: <br /> CA)C_ `CG 5 aft\-ti Ol , -64a 'j�e C71— 7-176) B4�D rn/�ZK <br /> CA) <br /> -rfvg -f. CA-7c V&cee(\vi N we m An.e het( 1 <br /> T\,..e.._ 5-iv.a..\e 'Pc-rA; H rrn r i 5 tivt. i, o- e oP �- k <br /> �. w� t✓� ∎ c\'J�e JO ae_ires `ynk 0 4 C-,,, cQ - 'i <br /> � s <br /> 1 <br /> I authorize that I am the z. o/:ve •er si -ct on behalf of the owner of the property. A) <d _ /� <br /> Submitted By: Date: <br /> r1, <br />