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DANE COUNTY Zoning Division <br /> PLANNING ' DEVELOPMENT Room 116, City-County Building <br /> 0, 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> --"" _ Zoning Change Application Phone: (608) 266-4266 <br /> � 'a 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 ti(`h 4 J lA (i? br-i.',uil Agent's Name <br /> Address —IV S4-) P)j. -n �/ . Lvd, Address <br /> 5 <br /> Phone 100 Zi q"� q 55x Phone <br /> j,d,6hre_ v)'�/0 1 1040 .C,6»-, <br /> Email L1 Email <br /> Town:-___(__ Parcel numbers affected: 01'0 g 1R ' -s v o 9b, /Al • • <br /> Section: 01 Property address or location: 5 •j / . _ 24J," y <br /> ^ A I s <br /> 'I1 <br /> Zoning District change: (To/From/#of acres) P - A- X 10- (-1'� <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 /> O Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> O Other: <br /> ',0 E_ (.0 Di t 1 1 i k-C -6 LI J I d 0 ( r-t a ai-eJ S-,--tee p_--_ , z-r-- <br /> V rue ey , Lae fa"A abytd- a 'IL 4-r �a,-,.,,,,,,,h z. i-�, . <br /> tr (pl c)n i n KD,LA" be or - <isLe -1-11'-°.. h. .eq ;1 i y -ra7m., s . <br /> I authorize that I am the,ner or have pe .ssion to act on behalf of the owner of the property. /� <br /> Submitted By: Date: f�/ <br /> A 1....41 Al. , it <br /> i t <br />