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1 <br /> DANE COUNTY . _ Zoning Division <br /> PLANNING ::::1 EVEL . P ENT Room 116, City-County Building <br /> cQ . •.r 210 Martin Luther King Jr. Blvd. <br /> ` Madison, Wisconsin 53703-3342 <br /> ` Zoning Change Application Phone: (608) 266-4266 <br /> cQNS 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 /> I feet <br /> f <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 yI✓ Spiel C- ( Agent's Name <br /> Address laaa 1-3w1 1L1 6rc1bi•-) Address <br /> Phone �$ Sig- coo Phone <br /> Email Email <br /> 1nTer STATrAvV)SS Q 9poteo,cor".' <br /> Town. ir'u-EkANIN Parcel numbers affected: ?,RE -0000 " 01 t 4 0 D5-/d o 72`9.5 a b <br /> Section: 01 Property address or location: 1232 H.�y PA e ,r<q 6 r..' wa S 35'7 S <br /> Zoning District change: (To/From/#of acres) To C.-Z 1r0 C- Z. I. `II 011. <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 /> o Separation of buildings from farmland <br /> o Creation of a residential lot <br /> o Compliance for existing structures and/or land uses <br /> 8 Other: <br /> Sti_ A426 tv•e( <br /> I <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 />