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Zoning Division <br /> Room 116, City-County Building <br /> �o 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> t4 ' Zoning Change Application Phone: (608) 266-4266 <br /> , coN 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 /> 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 r cut +fir, V�stfMe�r_keet4 Agent's Name <br /> Address i 5� C' vlooIe f k — h Address <br /> Phone "lack L_a W s Phone <br /> toe)$ 7r$' ogl3 <br /> Email f�ttmfr—Kea r��f s ne.- Email <br /> Town erej 0 Parcel numbers affected OfWn.ge77 -,)o,:2 - S790 -S <br /> Section 01 Property address or location: ell-2s S -.1'n '2at/(e ?ci <br /> Zoning District change: (To/ From /#of acres) k 14- '"f -t r^a-im 4-( t- x <br /> a/Ea ief fi- 1 i <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 /> O 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: I <br /> Reaene 163, 7`0 acres 4 - iv A- t E), --0 R 4-'( arAd <br /> i O,S e) Acres -Crew) A -I r x -to 4 -2 iv ereed&c One ko me s% to <br /> 1. <br /> I authorize that I am the owner or h,.e p•rmission to act o ehalf of the owner of the property. <br /> Submitted By: Date: /D -;-‘1"---1-6/`t <br /> I. 7 �� <br /> �� ii <br />