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• DANE COUNTY Zoning Division <br /> - `• t: Room 116, City-County Building <br /> f'U � 210 Martin Luther King Jr. Blvd. <br /> Madison,Wisconsin 53703-3342 <br /> \, S .f Zoning Change Application Phone: (608) 266-4266 <br /> Fax: (608) 267-1540 <br /> • <br /> Items that must be submitted with your application: <br /> 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 /> - i <br /> aiScaled 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 <br /> d� x� 4Ju4y Agent's Name T !'7 <br /> Address / J' �t .t� �?1� � <br /> 3 / 40„0-/ Address / <br /> Phone /41-71 et. 1(1.i, 5735 1 3 Phone 464111—Alert-, 4/j- C35�/3 <br /> Email iv3i itIP/4 '�1 c 5 ["";�f Email <br /> Town. Parcel numbers affected: D PJZ VZ 0'7 aav<3©5s 3J��J9 <br /> section: G vp96 �/ ee.1 QbtJdll' 4 !'3,�/ S'" j'boo / <br /> p.r 2S Property address or location: 3/31 a./.„,44, <br /> Zoning District change: (To/From/#of acres) If -3 -) /1�X • <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 /> © Separation of buildings from farmland <br /> 0 Creation of a residential lot <br /> 0 Compliance for existing structures and/or land uses <br /> 0 Other: <br /> } <br /> t /iii rn/,) 1ai' ‘i-va „ai 7rs <br /> 7- 7/i 5 7 4 4 4,E t y p 4, 4-? >% *ir zei <br /> ( '4►' - i <br /> r <br /> I authorize that 1 am the owner or have permis ion to act o behalf o the owner of the property. _ <br /> Submitted By:,..„1/7 / G�L��' Lam' Date: 3'/ /� <br /> /24VA2� -/ chill i",,3 r--6) 7A At <br /> ((f <br /> 4 <br />