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i I <br /> PLANNING DANE COUNTY Zoning Division <br /> DEVELOPMENT Room 116, <br /> City-County Building <br /> - '. 210 Martin Luther King <br /> Jr. Blvd.t .� s <br /> 1/-7":--:-- ' 1 <br /> Madison, Wisconsin 53703-3342 <br /> Zoning Change Application Phone: (608) 266-4266 <br /> se x Fax: (608) 267-1540 <br /> Items that must be submitted with your application: <br /> I 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 /> it <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 /> 9 9• 9 q <br /> Owner's Name tent's Name <br /> / ?,5-7 << 1=.. <br /> �°'v R Address <br /> Phone 6 a ? Y« a Phone <br /> Email Email 'I <br /> 6' 1 C2C mss_ A/ar <br /> Town' V tr /R O 4JJ Parcel numbers affected: e7‘ ©i 7 5T? F'Y" —474 <br /> 0b 0 $-- 75.3_5sO / -'I <br /> Section: 01 .5-ac.:. -3's Property address or location: / 'J5f L , R 4 GT 'J Rd. iR)41� ii <br /> -p <br /> Zoning District change: (To/ From/#of acres) (O R 1-1� 1"20 M .4.- / 3 / <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 /> I , Separation of buildings from farmland <br /> 0 Creation of a residential lot <br /> o Compliance for existing structures and/or land uses <br /> I 0 Other: --� <br /> p M % = / i . _ _. <br /> 6 , • f; . v • er A/ _ _ l• (b' ) - <br /> - <br /> I <br /> . _. . r <br /> lI I authorize that I am ��'�. ner or have .-■ fission to a on behalf of the owner of the property. /� .S �� <br /> i; Submitted By: ��4_ b / Date: //� zo <br /> I • '� <br />