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DANE COUNTY Zoning Division /D 2 2 / <br /> _ LAN I `' =DEVELOPMENT Room 116, City-County Building <br /> o + a' t.� 210 Martin Luther King Jr. Blvd. <br /> '` .�; Madison, Wisconsin 53703-3342 <br /> ors°� r: Zoning Change Application Phone: (608) 266-4266 <br /> cQ�'S Fax: (608) 267-1540 <br /> i <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 /> I;I <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 /> i <br /> Owner's Name �, •: fij Agent's Name <br /> Address Z <br /> ? �1_' y Address <br /> Phone Q D V1( '-" ^37� Phone <br /> (6 03) 5-15—-coq 0 <br /> Email 1 eidAn e5 tAc_oielON cs:1y1,0Gt) i CEmail <br /> Townes`a''`J Parcel numbers affected: 40 Z 0 0 .0 4) • I—20 '`t5-0—� <br /> Z0 ' _..• <br /> Section: 01 Property address or location: i 2,6 a )!, <br /> Zoning District change: (To/From/#of acres) <br /> RN 3 4- d Kf( y leu ra / MMo ---e_i <br /> jl <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: 3° % Other.20 % I <br /> XtCL <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> 0 Separation of buildings from farmland <br /> 0 Creation of a residential lot <br /> j <br /> 0 Compliance for existing structures and/or land uses <br /> 8 Other: lc) i / , <br /> 'fib )( w\t ;e- TWQ G� -eS O� ppperly w\q /2j oL o W( l,-/- 4 _ 7� PluPer /Oa jel <br /> a. <br /> al 41 rte+ ' -_a I V.* r. t ' ,,' ° a i • i 0 <br /> A...•_ 0 re a t� • I r i l [� �/, "- • ' Q,1l • , II- <br /> 4_e • f / V-4-- c&c w. Pipe Id Ca -) ct q Z l O ./ •ue i <br /> 0 iI 1 it 0. A r IC t . /e ilk. a Q o iI r. A! 01 c. LaP <br /> pucpo (3c--^''v- 1 < , lam. - f off- u 3 6 L Q 4� y. . 1 <br /> 1 <br /> V ' / Al iw - ��� °ro ° -ir . l�la , a <br /> I authorize that I am the owner or ha'e permission to a.' on behal of the owner of the property. / <br /> Submitted By: Date: If '2' �� <br /> _ I <br />