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I DANE COUNTY Zoning Division <br /> PLANNING D E V E LO P M E 1 T Room 116, City-County Building <br /> t 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703 3342 <br /> . Zoning Change Application Phone: (608) 266-4266 <br /> scos$t Fax: (608) 267-1540 <br /> 1 <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 f vbz.„ /�ig c Agent's Name OKs ��� iS'S'eH <br /> Address 3(i Vo t.c.JcL 1 ,erc t ELI'. Address o2e720 S74.mp c ST Ciee5c a S <br /> l <br /> Phone 6 S ' TTY- �a.3 1 Phone &.0 e• vas, / 7(19 <br /> Email / n ' / / <br /> are X (�"N► • I p)tA�t. Goyv-- Email <br /> v«-v►cj5Sehd / ukika'.ca- <br /> 1 <br /> rOCS tP 1 C. '1'1 Parcel numbers affectde 2° (9 7 1 '- 19 / ^ 7 Z D —a <br /> Town: <br /> Section: 01 Property address or location: q 1 2.@ g r✓Joer, R . C✓'b Sc Ple.:rs <br /> / <br /> Zoning District change: (To/From /#of acres) <br /> 6 4"x 4-6 Rai a * G‘,CfkS <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: % Other:`IV % <br /> 5-0 761 �-r5D . <br /> • <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 /> © Compliance for existing structures and/or land uses <br /> O Other: c J /' <br /> 5 / —f fa/rarer G,Jw,e �r-64 1;1 /'e.5-;(4 ,-1':Qv (�tivirS2S-_�J <br /> , (7-sk :,j ecc , l'y <br /> { <br /> I authorize that I a, - owner or have permissio to act on behalf of the owner of the property. -2-d(Submitted By: D <br /> x _ I,E 4 ..■■ .." ,...t da ' roil - <br /> • <br />