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DANE COUNTY Zoning Division <br /> .--,k,. I EVEL.OP1 ENT Room 116, City-County Building <br /> �fv , �� ); 210 Martin Luther King Jr. Blvd. <br /> +,art . Madison, Wisconsin 53703-3342 <br /> \ ; f 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 SGO-rT 1....6e. Agent's Name <br /> Address 5-o0 tit V a Plbbf NT h/t Address <br /> Phone -7 17,-- D.5-0/ Phone <br /> Email s',o .'Q4_8gOjnia`J,coAi Email <br /> c/ I <br /> Town.0 Ad Parcel numbers affected: U 10 7 d 73 000 Y <br /> Section: 01 Property address or location: 992/ <br /> 3/ack Ea.{4., t- III <br /> Zoning District change: (To/From/#of acres) ,--1 g-yL /v p_/- Z <br /> Soil classifications of area (percentages) Class I soils: % Class II soils:-30 d`O Other: 70 % <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> 0 Separation of buildings from farmland <br /> Creation of a residential lot <br /> 0 Compliance for existing structures and/or land uses <br /> 0 Other: <br /> 2,:ontlIL) oit A r)a,rca( 70 6v;/a 0. hGvS-, Bn . <br /> I authorize that I am the owner or h e pe ssion ct on behalf of the owner of the property. x <br /> Submitted By: ��_ x Date: N-/-5 <br /> ,I <br />