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DANE COUNTY Zoning Division <br /> °' •• <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> • ',1r . , 210 Martin Luther King Jr. Blvd. <br /> 6 <br /> Madison, Wisconsin 53703-3342 <br /> Zoning Change Application Phone: (608) 266-4266 <br /> �A79 f <br /> sC,Y--- 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 ,rgs or tquare feet. <br /> Owner's Name /2,iG��� L8 S e j e,e- Agent's Name , i i , , wbi <br /> Address ,3/ S lT <br /> / CIO r, Address 7�.S $G( <br /> �o 8J x/3 7- s f/ <br /> "/ 7. jG ZOLT.: <br /> Phone Phone (ei)35-4 /- :so <br /> � .S3S72 <br /> Email Email /(4-rj & m 41-r "re ( <br /> Town: ,A4t_ "ALP CIS Parcel numbers affected:0/0- 0 ' 0 0— 04242 — 95-0/ —b ,,..II <br /> n �,,QQ d I- w <br /> Section: Of, Property address or location: 3/gO v e v- I,t w. © 4 G� .3. ) DO <br /> A - C to — — s'ck /FZoning Dlstrlct change: (To/ From/#of acres) / �C /�C � ��' Y <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 /> aration of buildings from farmland <br /> Cr ation of a rest en la o <br /> 0 Compliance for existing structures and/or land uses <br /> O Other: 0 ( „ <br /> I authorize that I am the owner hay permission to on behalf of the owner of the property. /7� /if I <br /> Submitted By: �' C Date: / <br />