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DANE COUNTY <br /> r eta Zoning Division EOMENT LP <br /> Room 116, City-County Building ' <br /> 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> ,�=4 , . 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 pp(c{2.ACAC.- PEGGy CoF t' E'y Agent's Name e.fr{2��SCOP�IG- - M <br /> Address 4452. R oGE. 12.0 , !✓I EGRC L Ec�t7,Add ress 3 i CY g17, co-rAEF: C E <br /> (,r�8 — Cc' Lo 2-'1 w153531 WI 53S2'7 L*08-a77-i36� <br /> Phone Phone <br /> a1 c � <br /> NriS-vr��\cif-Cant+ v�� tr+ A� vtiC�1,c <br /> Email Email <br /> Town.ataTA GCE Parcel numbers affected: 0—) I t - 1 27-- g Se) -n <br /> Section: 01 Property address or location: 44 52_ P.c-96€ RTJ, 17 cr-f'I EVV <„� l <br /> Zoning District change: (To/From/#of acres) To A 2.18) FKeyrn is\— I (Gx) <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: % Other:_ % <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> Separation of buildings from farmland <br /> O Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> O Other: <br /> w -pc,v Li K& lo pnrysi E -I"N E- mace 14,5,-,e c <br /> 'Bo t L. ' i Gs roar- a N I ) 1 c2 -c ) 9.620 IT , AL NE 43 <br /> t-rs Dri Sc--P r iz; <br /> I authorize that I amt the o�wnerr or have permission to act on behalf of the owner of the property. <br /> Submitted By:/J �.j g 5 <br /> Date: " I <br /> c�r� _ 1 <br />