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4 <br /> DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> V , ' 210 Martin Luther King Jr. Blvd. <br /> Madison,Wisconsin 53703-3342 <br /> rV Zoning Change Application Phone: (608) 266-4266 <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 /> Owner's Name Wt N e w L)GH- Rev.. Pkgtnt's Name g:12 l G /2-D V IZ <br /> Address P6 g O P 11I WI Address (, CO/&► . 0P DP" • <br /> A35 7447_ '0 '/ ry <br /> Phone Phone 6 <br /> 4-�- zRo <br /> Email Email Gi o D g @ riPir Web 4.abq <br /> Town. P VT i Parcel numbers affected: -5-1 0 2, i Al <br /> Section: $ Zei Property address or location: <br /> Zoning District change: (To/From/#of acres) Tc' iZ - Z- F ii A--', ..E A <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: 16 0% Other:_ <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> ©,�( Separation of buildings from farmland <br /> At Creation of a residential lot <br /> © Compliance for existing structures and/or land uses <br /> Other: <br /> _ <br /> I authorize that I am the ow .r have permissi. t.act on alf of the owner of the ,roperty. e <br /> Submitted By: . Date: O O' <br /> -62As 16 °6113 114 <br />