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DANE COUNTY Zoning Division <br /> off` ' �'..,t �! `j' Room 116, City-County Building <br /> o a 210 Martin Luther King Jr. Blvd. <br /> Madison Wisconsin 53703-3342 <br /> ,� Zoning Change Applicati®n Phone: (608) 266-4266 <br /> b �saa: <br /> s°O'�S 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 �I <br /> required for each zoning district proposed. The description shall include the area in acres or square <br /> feet. <br /> l <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 Agent's Name )) <br /> © " kr \ 1,m kevaig(`ei Cc h il� <br /> Address /y/�, h4d8/ al O.S,EId Address s."�/G �G �vi11 /°c� 1 <br /> Phone �fi 2‘f/- 6.S'/D -s- 531 Phone ebe 334' 6-394 y .5J 0).3 <br /> Email Email <br /> Town. ea,(-Adel Parcel numbers affected: - : - `-IA".- ••• ii■mil►tlafaffor-mgm- <br /> eY)Ja- l 1 --ter--i , — p "7/4-/R-11 <br /> Section: 01 qg/9 Property address or location: _sg��j,1 ism. ypec,,e w1e/d p3 ' e . <br /> Zoning District change: (To/From/#of acres) if//a ige rg5 -Prr}^� gi-ex 7-. 01(• <br /> a xs,,, rip c .� Ti a-/ 7D hi 1ncIVd�d. n "T Ike. fig . 6) <br /> Soil classifications of area (percentages) Class I soils: % Cl.. . II soils: % Other. % <br /> S b-/e._ ,-,A <br /> geNclf, <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> ® Separation of buildings from farmland <br /> O Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> B Other: <br /> .5„p , 7) 1 kLin G�od �© 1.5 (,0n-t ran). ,ge-//i i 7h <br /> -5 ki4“7111 <br /> have per t�ion to act on behalf of the owner of the property. i <br /> I authorize that I am t - ow r or h p p pry 1,� <br /> Submitted By: Date: Y.--3 . i <br />