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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> ,1 210 Martin Luther King Jr. Blvd. <br /> Madison,Wisconsin 53703-3342 <br /> ` - Zoning Change A p p lication 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 /> -Trim r�i�•��.� (. _ _p_ <br /> Owner's Name Rd. i_-( . r L' r, Agent's Name ,'-��--�-�-f�Z. `or kvi�U l.0 / c <br /> Address Q4LA 0 g( c vy- �,I. r Address gaDk t lei <br /> Phone (00g-7L:7- 2 \?fl Phone r _C - fq -1 7-1) Cell s-n ics�i <br /> Email b r ^�, _ r d l Email ,/I ti CA1 r - ti e ' t '' <br /> Utlw' K.r�t _ __ __ _ fl <br /> Town Parcel numbers affected: br - •S — ' •.r <br /> Section: 01 Property address or location: j 6y bl?yr ?UV e..c • <br /> Zoning District change: (To/From/#of acres) A q EX P I �/1 ' , iLA o <br /> `.J <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 /> • Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> ID er: <br /> om .AG 40 Q , 3 : 75acA-1-46. <br /> aY .4 -fa b L 6 . <br /> ttAci...,AA si,-,..„4„,,,d, -f-c. 1-10..1.)-e. ci... cicCt‘ cr.c&vritry. <br /> LI):-Lie-vVN . <br /> I authorize that I am wnerror have permiss'o to act on behal f the owner of the property. lc, - I^7 j S <br /> Submitted By: Date: 1 <br />