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DANE COUNTY Zoning Division <br /> PLANNING I-1DEVELOPMENT Room 116, City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> 1' Madison, Wisconsin 53703-3342 <br /> ti‘ Zoning Change Application Phone: (608) 266-4266 <br /> )F3o <br /> `s s_=f 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 paora h /�l ale 'o r€ fi p- Agent's Name -h c e,a-eh Ko rr <br /> Address o774 l�eb blc V /ky Address b, 736,e o2 3 7 <br /> hog 837- 7 � 42A/il d <br /> 1/Phone Phone • �'�S�f <br /> �� I oe 837- 7V/Q3 <br /> Email Dells f• ©08 �i< /j'�4� �� zero Email Gilt, kott d/P/IPfIkotf <br /> Town Parcel numbers affected: <br /> Section: 01 Property address or location: <br /> Zoning District change: (To/From/#of acres) ze,r / To 47 Z er 4.4 <br /> Ae'/A ,CDT <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 /> G"Separation of buildings from farmland <br /> reation of a residential lot <br /> E'Compliance for existing structures and/or land uses <br /> 0 Other: <br /> I authorize that I am the owner or have permission to act on behalf of the owner of the property. <br /> Submitted By: Date: <br />