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• <br /> PLANNIN <br /> DANE COUNTY :• Zoning Division <br /> tea -C3 E ` "-I-0P ENT Room 116, City County Building <br /> f 210 Martin Luther King Jr. Blvd. <br /> p = Madison, Wisconsin 53703-3342 <br /> r =: z <br /> taaa oning Change Application Phone: (608) 266-4266 <br /> scoris ". <br /> Fax: (608) 267-1540 <br /> I <br /> Items that must be submitted with your application: <br /> , <br /> o Written Legal Description of the proposed Zoning Boundaries <br /> Legal description of the land that is proposed 9 ro osed 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 II <br /> required for each zoning district proposed. The description shall include the area in acres or square <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 /> a¢D6ER JU.;'I/ 'e/N/�- <br /> Owner s Name 4 -s , AT8/�o Agents Name o i GE�11/FeD r_ <br /> 98/ /'/?,414'1 ST <br /> Address o L L/n/y' Re)/1-40 Address 5,23y�1N; <br /> "/ l <br /> 1 Phone .5/7'e�U(I-/TD/V �, L✓/, f.33-19q Phone Ca�v6t S L1 j• 539 S <br /> ,D8 - yyy-f3702 8 - ,1 -Za to <br /> Email N/ Email og7evSI)pve y a pd;iie L. Gory) <br /> Town•Pl/Virie A '" 1!!__ i q'�'-S © G J O� 11- /(Qt t I OO <br /> /� Parcel numbers affected: � � !W! <br /> Section: 01 Property address or location: fF/ 6L.L//1/S 79 4-_,e)Zoning District change: (To/From/#of acres) 4.--_/ (EXGL, 7-0 ei et <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: % Other. % <br /> -C-Q-Pe- --X H-tk ee 1 <br /> Narrati : (reason for change, intended land use, size of farm, time schedule) <br /> o paration of buildings from farmland <br /> o Creation of a residential lot (, <br /> Compliance for existing structures and/or land uses 1 <br /> 0 Other: 1 <br /> '/Y i / - ; 1 P I / - 4 T; !/ , _ 4/E)1/ <br /> ei r /, /f .i.-4-.i.-4-4„,4, <br /> I <br /> I authorize that I am the ow ave permissi. to -• •. .' al 7 own /��/ <br /> Submitted By: -04 Date: 9- 7 <br /> I <br /> GIr — <br />