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t . <br /> DANE COUNTY Zoning Division <br /> PLANNING D E E LO M E N T Y P Room 116, City-County Building <br /> x ti+� 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> Zoning Change Application Phone: (608) 266-4266 <br /> Fax: (608) 267-1540 <br /> Items that must be submitted with your application: <br /> X Written Legal Description of the proposed <br /> 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 in <br /> feet. p clude the area in acres or square <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 t NZ J Agent's Name <br /> �c L�,r�� ?t Cam Dahv <br /> 5 � <br /> Address 9S6l( Spr•,� (Mlle, R Address 9 5/c S;,r,'rl t/A I 1 e 7 <br /> Phone /�azo,+�aN e W I S.3SG0 Phone �A2O"`K%'� W( S3sdo <br /> 603- 7607 -22-S? 6,0g- 767-266/ <br /> Email Email <br /> Town: a zo M' <br /> /Y( r�G I e Parcel numbers affected: 0 3`I/D13-06- /3Y- 8000-3 <br /> Section: /3 Property address or location: <br /> Zoning District change: (To/From/#of acres) i - ,, <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: % Other:_ % <br /> See- Atto.ctx.e <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> O Separation of buildings from farmland <br /> Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> 0 Other: <br /> I authorize that I am the ner or h permission to act on behalf of the owner of the property. <br /> Submitted By: Date: 5/1 Z 15" <br /> 1 l� <br /> W i 5 4ii <br />