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in06 • ` ) 7s9`� <br /> DANE COUNTY T Zonig <br /> Division <br /> PLANNING-':-DEVELOPMENT Room 116, City-County Building <br /> f <br /> a ;t 210 Martin Luther King Jr. Blvd. <br /> o Madison, Wisconsin 53703-3342 <br /> = j <br /> �a <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 proposed of the location of the ro osed Zonin g Boundaries <br /> The drawing shall include the existing and proposed zoning boundaries of the property. All existing <br /> u' d' s shall be shown on the drawing. The drawing shall include the area in acres or square feet. <br /> buildings q <br /> 9 <br /> 9 <br /> 9 <br /> Owner's Name �,�,.,/, Agent's Name <br /> Address 1,0 (3.5 7�t.U[i /4 Address <br /> Phone :� 1 �`� 29 Phone <br /> . w • <br /> Email . iKW . • A `f Email <br /> Tow Parcel numbers affected: 0 > '.,= • I 0 • - ■-4- "0%- -' -i' • <br /> Section: 01 Property address or location: '5 74_,u 2 ix bAni & ,' <br /> Zoning District change: (To/From/#of acres) ), r V • : e <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) KE cc- (O 3S <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 /> 8 Other: n / / <br /> ? _0_31--;ii. H t t if, IL)o(,/cat !ire to pweclrfs>: `/-~,//At/f/>4lu <br /> I authorize that lam t - owner or have p-rmission to wiz:half of the o ger of = •ro,'e . / <br /> Submitted By: ■ <br /> 1 , . Date:(� <br />