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DANE COUNTY oning Divis <br /> on PLANNING <br /> (e.--w - ]E T E L4 P NE N T Room 116, City-County Building <br /> ` :e\;„' <br /> '' ) 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> ,,ds�� . Zonin Change A pp lication Phone: c 608) 266-4266 <br /> g <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 /> i <br /> i, Owner's Name,/n4i,z , Agent's Name/,-• 4 j -e/- ,�/ <br /> Address Address „961-.? / - ''G // r"? <br /> Phone Phone ��"'— °,,/Z-2°__,/� . �l?S2lg <br /> /d eS.cIG,.e�a/.fi,/g4/'C5rvi <br /> Email Email <br /> Town: / ?*/' !U Parcel numbers affected: i , •3 fOO7 d o 0 /- MPO.C6 1 — <br /> Q 0 s25-7/93 1 0 O 0,S--'0-2/ ns�s�qs a'? g.3�s- e <br /> Section: 01 / / Property address or location: ��/7 cei)w L ,,1, . <br /> Zoning District change: (To/From/#of acres) j C/f is Jx1-‘,./0 47/7z y <br /> g f d je AC,- C yWa, ,_,C, 4 (2,- <br /> Soil classifications of area (percentages) Class I soils: % C ass II soils: % Other: % <br /> ,c-0749 C-/ mer - c`- •/ <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> 0 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 /> � /z-I;7G hCl ]1 / cs— <br /> I authorize that I am the owner or have •- "r-sion to a ,.-•ehalf of the owner of the property. /. x <br /> Submitted By: Date's p,`�/ <br /> i_- <br />