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DANE COUNTY Zoning Division <br /> PLANNI NG'-; DEVELOPMENT Room 116, City-County Building <br /> v• 210 Martin Luther King Jr. Blvd. <br /> '., <br /> = Madison,Wisconsin 53703-3342 <br /> . i.a J 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 O,, To f(/H Son/ Agent's Name /-..Ev It/ 3AamCARch'Fi4 <br /> Address y0, 3 5 c flu)K #4 Igo Ric'? Address 9'77 6 C f/ A- ,i WORE" mod; <br /> Phone bar - i/y3 - 6 i» Phone ‘'=). " F S 3 Z <br /> Email Email <br /> Town. pc RR Y PSeI numbers affected: O `//oSob--2 3 /- b'$'30 - 6 (050 6.231 r;oos <br /> (o306 -2.3 1- 9000 0) <br /> Section: 01 Property address or location: ' f3 S 1/60, # A/t ir, MoREB w%. 53f7.2. <br /> Zoning District change: (To/From/#of acres) zeir • L 0'T / fo' ,9 Z <br /> a.• — Ra — . r3 A1. A 2. , q -t o?`q- A <br /> AL -P142. <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: % Other:_ % <br /> n • Y. 11/ 1 ff %. 2 % r/1 i o%, <br /> Narrative: (reason for change, intended land use, size of farm,time schedule) <br /> B Separation of buildings from farmland <br /> © Creation of a residential lot <br /> Cif Compliance for existing structures and/or land uses <br /> 0 Other: <br /> S ACC G o i 3 /_ c s ill c S� <br /> I authorize that I am the owner or have permission to act on behalf of the owner of the property. <br /> Submitted By: Date: Y/2/1 V <br />