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DANE COUNTY Zoning Division <br /> ^tea <br /> PLANNING =_,DEVELOPMENT Room 116, City-County Building <br /> 8 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> `=" Phone: (608 266-4266 <br /> #3- Zoning Change Application > <br /> coP� 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 Chest ---k-ii cigs Agent's Name <br /> Address 3H cc,i,g Ka v.c\C1YI.Lit Address <br /> Phone can- 290- 'c3 78 8 Phone <br /> Email Email <br /> za 7 7 nos -r lio 0 yaw°-cot4A <br /> Town' fl.11)110 Vl Parcel numbers affected: 002/05i2 - (24'Q8t 5-5 <br /> Section: 01 Se` 7_ Property address or location: 3 H C rcx it c .cp-1rofl <br /> Zoning District change: (To/From/#of acres) fk--5 A • RN- I 2.186 acres <br /> 1 <br /> Soil classifications of area (percentages) Class soils,* % Class II soils: % Other. <br /> II1 <br /> 1 <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 l <br /> 8 Other: <br /> C ,I.)ut/Ci v ' a 1 Ii kc o en-ti e & Yl Y <br /> /s -7`Ae�' <br /> © -1-1\o c iP itv‘ ivy)iDa r . <br /> (e7 lo a n i' 1-- 7f s90/027S <br /> up/ex <br /> I authorize that I am the ow have permission on behalf of thepner of the property. / �/ <br /> Submitted By: Date: _�'I A _ ` —`• -l , <br /> _/A <br />