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DANE COUNTY .. Zoning Division <br /> ' - :D E s ELO P M ENT Room 116, City-County Building�y ftaw l ko <br /> •s -f Zoning Change Application 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> Phone: (608) 266-4266 1 <br /> Fax: (608) 267-1540 <br /> Items that must be submitted with your application: <br /> o Written Legal Description of the proposed Zoning Boundaries I' <br /> Legal description of the land that is proposed to be changed. The description may be a lot in a plat, <br /> i <br /> g p p P 9 P Y <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 /> 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 11 �� n Agent's Name Dek:I.A g` J � <br /> I'4 r� L <br /> Address 7q �k t_k 416125111-0 iv Address 13 ), fi1@t P,0, Fe)r: /C) <br /> Phone Phone 10 <br /> dal- G7S-6aK1- <br /> Email Email --3e—T pgol)r-417 470r t.,0*cop( <br /> Town. Dc e_,..e,t3, Parcel numbers affected: 6'3-'1 1 13 tg.o/0, 0 W Z//z q 5355( <br /> Section: 7" /0 ql.�� Property address or location: H3 '"� R-u-e,e RackA , /�QAS14/ (4441- <br /> Zoning District change: (To/From/#of acres) 4—/ A'x �D R^l/9 (2/ ())1 C*,< /)--2-(1 , <br /> )) To ' <br /> Z <br /> fZ,‹s \ , 4 kfc--r (4,a Aks ) <br /> Soil classifications of area (percentages) Class I soils: 3o % Class II soils: 3 0 % Other. A/o % <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) ' <br /> Separation of buildings from farmland T7// �/ T2� (/ <br /> O. Creation of a residential lot 1 <br /> 1 <br /> O Compliance for existing structures and/or land uses <br /> 8 Other: <br /> I, <br /> I <br /> I authorize that I am the owner or have permission to act on behalf of the owner of the property. ` //�/Z (J(_ <br /> Submitted By: Date: b/ <br />