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DANE COUNTY ;_} Zoning Division <br /> a ' ' _ ! � Room 116, City-County Building <br /> h 210 Martin Luther King Jr. Blvd. <br /> oe`Ki <br /> Madison, Wisconsin 53703-3342 <br /> t rr -,""! Phone: 608 266-4266 <br /> ')spa : Zoning Change Application ( ) <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 LULL t od'i#ra Agent's Name/144.4...A F7., {��e„q <br /> Address /f6jj�Sjic)�rc¢v((�A Dryt -c- Address 2415 GeL67 -i_�ad <br /> Phone / " "1/sor'Y`",iiC�� 5 37/-27 Phone CA#�`e- --rove_1 4. '535)2 <br /> (65$) 222- - 5'i if)2- (6O002-7,5-72-8 ? <br /> Email Ai Email 9 1 <br /> 104,442/ <br /> i�J� • GQ'k_ <br /> T o w n 0 D ��44^DVQ_ Parcel numbers affected: 071/ -O 1 /- SO//^ 5/07/J-1,4/—9//O— <br /> Section: 01 D4 Property address or location: 2.445 .-,4.5-14,11,2e a c li Go j iiiNe- <br /> Zoning District change: (To/From/#of acres) IZ //iZ/-1.1. 'O,7.5 f a,c�e.¢.di <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 /> of eaiierraf- r emtia,-; t <br /> Compliance for existing structures and/or land uses <br /> A Other: <br /> /41146(1 IA, ZCZO F AMC/ 71e> o4r'pin Ai it)and-41 <br /> I authorize that I am the• f er - have pe r' sic .• act on behalf of - owner of the property. p �� /5 <br /> Submitted By: ' �� Date: /7 <br />