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Zoning Division <br /> ,� Room 116, City-County Building <br /> � v �? 210 Martin Luther King Jr. Blvd. <br /> Madison,Wisconsin 53703-3342 <br /> V Zoning Change Application Phone: (608) 266-4266 <br /> "=. g pp 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 Brad and Patricia Breunig Agent's Name <br /> Address 9103 County Rd l Address <br /> Sauk City, WI 53583 <br /> Phone Phone <br /> (608)393-8409 <br /> Email bbreunig @cellonorthamerica.com Email <br /> Town. Roxbury iff Parcel numbers affected: 0907-202-8000-8 <br /> Section: 01 Property address or location:9103 County Rd Y, Sauk City, WI 53583 <br /> -C (R1/ 1(/1) <br /> Zoning District change: (To/From/#of acres) <br /> A-iE)< <br /> Soil classifications of area(percentages) Class I soils: % Class II soils: % Other:_ % <br /> SIM- 3 <br /> Narrative: (reason for change, intended land use, size of farm,time 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 /> O Other: <br /> • <br /> authorize that I am th: . n: or have permission to a . behalf of the owner of the property. �// <br /> Submitted By: 1 1A L∎.L , • �� �` Date: / <br />