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DANE COUNTY <br /> Zoning Division <br /> PLANNING �DEVELOPMENT Room 116, City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> 0 Madison, Wisconsin 53703-3342 <br /> Zoning Change Application Phone: (608) 266-4266 <br /> g g p p 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 EPIC SYSTEMS CORPORATION Agent's Name Nathan Lockwood, P.E. <br /> Address 1979 Milky Way, Verona, WI, 53593 Address 7530 Westward Way, Madison, WI, <br /> 53717 <br /> Phone Phone <br /> (608)271-9000 (608) 833-7530 <br /> Email steve @epic.com Email nlockwood @donofrio.cc <br /> Town. Verona Parcel numbers affected: 062/0608-172-8550-4 <br /> Section: 17 Property address or location:2645 Country View rd, Verona, WI, 53593 <br /> Zonin g District chan g e: (To/ From/#of acres)A-3/f /35.45 <br /> p ‘.&W <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: S % Other:�s % <br /> Narrative: (reason for change, intended land use, size of farm, time schedule <br /> ( 9 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 /> EPIC Systems would like to re-zone the above parcel to allow for the installation of <br /> bathroom facilities on the property. The town of Verona has requested residential <br /> zoning to comply with their comprehensive plan. The facilities would be for the use of <br /> a small number of EI'IU landscaping and maintenance statt. <br /> I authorize that I am the owner orhav perm' si o ton Ralf the owner of the property. '&I 1 Submitted By: ✓/ Date: <br /> 1 <br />