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DANE COUNTY , <br /> � <br /> P LA I I�I I�It's v-j Lo P M E ICI Zoning Division T Room 116, City-County Building <br /> :, 210 Martin Luther King Jr. Blvd. <br /> Madison,Wisconsin 53703-3342 <br /> '1 Zoning Change Application Phone: (608) 266-4266 <br /> r <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. 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. k a csm <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 /> 'j . <br /> Owner's Name Amy M FI1✓ Agent's Name <br /> Address 309 -xlit w rI H'I 1cwd(W/5355gAddress <br /> Phone 11:19- 21 1- (D uo Phone <br /> (11n9eafluke • �f <br /> Email 1 Email <br /> Town•COttag - art) w Parcel numbers affected: II 30 5 9 CD D Q <br /> 3og>7 //v /-v//oWTC <br /> Section: 01 30 Property address or location: M cf.-44440f WI 5355 <br /> Zoning District change: (To/From/#of acres) <br /> To : 3-1 From ; 4 —aC1) 1.092 acr,S <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 /> O Other <br /> wvucd l i k Ion'r a thaf Q/lcw z fo ()At' Q sine/( rota,( l^en <br /> -�r a.CArtS 6k th ea: -faini y tzuAviin S GIKddfivys 15ma!f e kedv73. <br /> ht mccd rp/ac4 &curreAvP biotAi kV a aNinfrull2ay h 4 <br /> bwznr ame 51 A4 (N Suercc logy l 44 tze_ paficilz7 <br /> I authorize that I am e o - or have pe -* • to act on behalf of the owner of the property. <br /> Submitted By: , • `' ", Date:—_.1 <br />