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I <br /> DANE COUNTY Zoning Division <br /> " ` ....,t I '"Y -- EV LOPT E T Room 116, City-County Building <br /> °,1,1:i::. '- 210 Martin Luther King Jr. Blvd. <br /> U, _" <br /> Madison, Wisconsin 53703-3342 <br /> `r_. ' Zoning Change AppOieati®i : (' ) <br /> lal9� <br /> if <br /> sca%;. 1 Phone 608 266 4266 <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. <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 J0),,,, vl_S al) Agent's Name V r, e6 ( <br /> Address o 50 -2 }�r,/c/ DCb't,t_ Address <br /> Phone __Cr °104 ,5 3,C p Phone • <br /> 6 - 6 7-2'0 7° 67) 242 - )// ) <br /> Email .'Aar,*j0).S12-4 m �.G Email <br /> ((_J •fir` 061/ - /K`l—Yeio�J <br /> Town. fop IA*.4-.rY'1 S Parcel numbers affected: e'611-J V y 9 ea <br /> Section: 01 Property address or location: _CC 7 - 3t�c/ LY‘✓C 5409 <br /> Zoning District change: (To/From/#of acres) <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 /> 0 Separation of buildings from farmland <br /> 4 Creation of a residential lot <br /> 0 Compliance for existing structures and/or land uses <br /> 8 Other: <br /> • <br /> I authorize that I am the owner• -ve p ission to act• •-half• th; owner of the property. /1 l/( // <br /> Submitted By: Date: !` 5 <br /> vim.` <br />