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DANE COUNTY IO& <br /> Zoning Division <br /> PLAN IN �o Room 116, City County Building <br /> �a 210 Martin Luther King Jr. Blvd. <br /> °a t' Madison, Wisconsin 53703-3342 <br /> ill ' , <br /> � ' ` ' Zoning Change Application Phone: (608) 266-4266 <br /> sQsv. <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 /> land is proposed to be changed. The description may be a lot in a plat, <br /> Legal description of the Ian that I p y p , <br /> 9 P <br /> P P 9 <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 existin <br /> h 9 P p 9 existing <br /> 9 <br /> buildings shall be shown on the drawing. The drawing shall include the area in acres or square feet. <br /> Owner's Name�huC4d er�'2ce Agent's Name i r't Lestoe---e.,� <br /> Address /p6 L7&j,e/J j „ST c ?€ ,eJd Address Q34. zee ye AL,?./ ,ke ("Am o,cb <br /> Phone 4 - °t - //7`� Phone '411 - :..3% X3710 <br /> J i ih.c real -(amii ® ya heo, non, <br /> Email Email <br /> / - <br /> � c�� �� 3�-�1na a �� <br /> Town cie�o��rZid Parcel numbers affected. <br /> Section: 01 3,a Property address or location: 1i.9Th7.e Ec <br /> Zoning District change: (To/From/#of acres) Ai -ex 76, f l/- 1 <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: V 0% Other % <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> o Separation of buildings from farmland <br /> • Creation of a residential lot <br /> o Compliance for existing structures and/or land uses <br /> 8 Other: <br /> I authorize that I am the.w -r or have p:fission to act on behalf of the owner of the property. <br /> Submitted By: > ..--- Date: <br /> .DQ 'L <br /> , Pr'' .00!..0%': _. ..... ar 4 'I <br />