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Zoning Division <br /> Room 116, City-County Building <br /> "°i 210 Martin Luther King Jr. Blvd. <br /> . Madison, Wisconsin 53703-3342 <br /> 9. 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 Jess mae Hageman Rev. Trust Agent's Name Ed Short <br /> Address 197 Fritz Road Address N8096 Buol ROad <br /> Belleville, WI 53508 Belleville, WI 53508 <br /> Phone Phone <br /> (608)225-0389 (608)712-1040 <br /> Email Gary Hageman Email <br /> tY eman 9 exeterdesign @yahoo.com <br /> Town. Montrose A Parcel numbers affected: 0508-314-8050-9 <br /> Section: 31 IQ Property address or location:7698 STH 69 <br /> Zoning District change: (To/From/#of acres)RH 1 from Al-Ex -2.4 acres. Proposed Lot subject to <br /> recording of Sanitary Easement onto adjacent Lands. <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 /> 0 Separation of buildings from farmland <br /> O Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> O Other: <br /> To settle estate there is a need to separate house off from the farm. Proposed Lot <br /> with house and shed to be taken by daughter of the deceased. <br /> I authorize that I am the owner. .e .sion to act on beh -efthe owner of the property. <br /> Submitted By: <br /> ��1/S <br /> �f <br /> Date: / <br />