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DANE COUNTY Zoning Division <br /> � PLANNING DEVELOPMENT Room 116, City-County Building <br /> A '%' 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 /> 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 PATRICK W COFFEY &PEGGY J COFFEY Agent's Name BIRRENKOTT SURVEYING INC. <br /> Address 4452 RIDGE RD Address 1677 N. BRISTOL ST. SUN PRAIRIE, <br /> DEERFIELD WI 53531 WI 53590 <br /> Phone Phone <br /> (608)764-5176 (608)837-7463 <br /> Email Email akasper @birrenkottsurveying.com <br /> Town Cottage Grove Parcel numbers affected: 018/0711-122-8795-0&018/0711-122-8775-0 <br /> Section: 12 Property address or location:West of Ridge Road <br /> Zoning District change: (To/From/#of acres) A-4 / RH-1 /0.046 & RH-1 /A-4/0.647 <br /> Soil classifications of area(percentages) Class I soils: % Class II soils: % Other: 100 <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 <br /> 0 Other: <br /> To clean up to remove a narrow strip between the two parcels <br /> �o Qdd bn Ma 1:)/0 parse / `f o —ra74ure Ao,rt e 5/1T• <br /> I authorize that I am the o e •r hay -mission to on behalf of the owner of the property. <br /> Submitted By: Date: S' <br /> y ��//� • • 4 <br />