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DANE COUNTY - Zoning Division <br /> DEVELOPMENT Room 116, City-County Building <br /> o' a � 210 Martin Luther King Jr. Blvd.'k <br /> Madison,` Madison, Wisconsin 53703-3342 <br /> -`' ;f Zoning Change Application Phone: (608) 266-4266 <br /> s,P, S 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 /> I• , <br /> Owner's Nam- iv ( trikkt LMTrvent's Name r S �--V �� <br /> Address % a A Ault ! F ,._ New 5 •1 C _ ,. ,.t <br /> / i /._ .._ G ~ <br /> Phone r \ 'y Phone <br /> r � � 1 (o7 - �U� (0(1:70 'q/6 / 0 .�„iA • •✓ 6 <br /> Email Email = 4 ' . A VY1 A / Olat 1'/ , <br /> Town. VIPMFAMI. Parcel numbers affected: +iOPd!E rV 7 O 0 0 <br /> Section: 01 Property address or location: 5 5 5 00,,,,lypoL F eiit elivi<G '. 11 <br /> Zoning District change: (To/From/#of a es) <br /> To , g2 a • es �INN ( L2 a CV�S <br /> ,.4, . • *A . .a • ' .S. IA• :0 i — ♦ -- —Q <br /> Soil classifications of_ -a (percentages) Class I soils: % Class II soils: _ % Other. % <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> 0 Separation of buildings from farmland <br /> o Creation of a residential lot <br /> * Compliance for existing structures and/or land uses <br /> qs Y < % i <br /> Other: � � <br /> 11 11 ® /�L e A i I., I L.tl Z- tfo , , A 4 4 c ' <br /> !.KETMffirMre A ( 6._ ' I I r i lAWsrI III <br /> r <br /> • <br /> � il� ire all ^-o 'i1._ , ' / _ ! i <br /> 1 <br /> i 11111iirr,11 ALMIUMIEgKertrirMitiffkle. — <br /> I authorize that I am the own have permission to act on behalf of the owner of the roperty. (n 1 ' I ' S <br /> Submitted By: I - 1 4� Date: �(/ "� <br /> //J <br />