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DANE COUNTY <br /> PLANNING Zoning Division <br /> g(74-, DEVELOPMENT Room 116, City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> .0 Madison, Wisconsin 53703-3342 <br /> .>41-,1, 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 Beverly A.Jenkins Estate Agent's Name Dave Jenkins <br /> Address do Robert A. Jenkins. 1201 Zingg Address 161 Horizon Drive, Suite 101, <br /> Drive, Verona, WI 53593 Verona, WI 53593 <br /> Phone Phone <br /> (608)481-6799 (608)848-5060 <br /> Email patjenkins @rotarymadison.org Email dave.jenkins@jsdinc.com <br /> Town. Montrose Parcel numbers affected: 040/0508-174-9500-2 <br /> 6 10 <br /> Section: 17 Property address or location: North Cates Road <br /> Zoning District change: (To/From/#of acres)RH-2/A1-EX 4.987 Acres <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 /> O 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 /> Separation of buildings from farmland <br /> I authorize that I am the owner or have permission to act on behalf of the owner of the property. 05/14/2015 <br /> Submitted By: Date: <br />