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DANE COUNTY Zoning Division <br /> " DEVELOPMENT Room 116, City-County Building <br /> I CY , ,; 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> 4 ') 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/if/wet-4/ � iz Agent's Name <br /> Address , „'Z &ILL4/4,-1--L.,- /Q 0 DiC i,JCAddress <br /> Phone ‘jg) eV V Phone <br /> Email Email <br /> Town. ;`I'OXC3Li tZ i' Parcel numbers affected: O5-61/0?.D 7 -2 cq a-5-C - / <br /> `005"3 l cwt: --4M <br /> Section: -�9 �S %7 N�(�'y }�erty address or location: � <br /> Zoning District change: (To/ From/#of acres) 00,4 A- 16-1 4-0 ,4,', q) '`7', (, •3 4144 <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 /> -Separation of buildings from farmland <br /> 0 Creation of a residential lot <br /> 0 Compliance for existing structures and/or land uses <br /> 8 Other: <br /> e T F ' ' 7 4 ,E s Ad 17 C'fS/afe,•tc v lAi 1 A /(CO <br /> I authorize that I am the owner or have permission to act on behalf of the owner of the property. <br /> I Submitted By: Date: ,' '/ r— <br /> 1 <br />