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DANE COUNTY <br /> Zoning Division <br /> / > 7c'` --D EVE.LO Plvi ENT Room 116, City-County Building <br /> t.o % 210 Martin Luther King Jr. Blvd. <br /> r _ Madison, Wisconsin 53703-3342 <br /> ?s' ,f Zoning Change Application Phone: (608) 266-4266 j <br /> GON? <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.Ili _ P P The description may p ybealotinaplat, <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 II <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(A) I LL. <br /> M. N G A R Fa 01- Agent's Name <br /> � <br /> � <br /> L <br /> Address 9-/GI o A`..- -- e_Fu t� 1 D Address <br /> Phone b <br /> 6 <br /> G <br /> ne � D 7 Phone <br /> Email 6-14R Fool' w C 64a I- IC a w` Email <br /> Town•5P vta-O/4l--E Parcel numbers affected: 6 .0 -7 —31-13— ci (Q 4 S — 0 <br /> Section: 01 39 Property address or location: 141,2,35ir p e y 3 f,�„�;T 5 T <br /> Zoning District change: (To/From/#of acres) A t ~ R 3P, �2. E, <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: % Other. % 1 <br /> I <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> o Separation of buildings s from farmland <br /> 9 <br /> I <br /> o Creation of a residential lot <br /> 4 Compliance for existing structures and/or land uses <br /> 8 Other: L; 14."..0 it:Apt...a_ivw <br /> Q <br /> I authorize that I a e owner r is ermi on to act on behalf of the owner of the property. S— <br /> Submitted By: Date: 1 <br /> is <br />