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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> . ,;' Madison, Wisconsin 53703-3342 <br /> Zoning Change Application Phone: (608) 266-4266 <br /> Fax: (608) 267-1540 <br /> Items that must be submitted with your application: lfz) � <br /> a 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 /> J°n--Rvy ScYuin Kul-1K!' Owner's Nam�rvpr -t-(pPIS? z e l l �r ) (p,901-)'y�� Agent's Name <br /> n) <br /> 7 i1 <br /> Address - a n g 5. ('a uxr-f(/ ��j F�r r/f ']r�r�t i 't- Address <br /> 535.20 1 <br /> I' Phone f t 51 n .� :� Phone <br /> Email Email <br /> CT-Q(AVIV(e ZCj 4 nvi I . c <br /> Town. Pery v, Parcel numbers affected: 0 5 b(D -- a(p3 — 6100n— 3 <br /> Section: 01 Property address or location: eery cm i- v 112d „'e e va,I I e y (c f <br /> Zoning District change: (To/From/#of acres) fi t c r7? J <br /> Soil classifications of area(percentages) t Class I soils: % Class II soils: % Other._ % <br /> 5P SO(i M04) alta(lied <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: �y N1//�1 It fair)/ 1I L�1 /1 1 l r7 X11 <br /> To b(,i I d 31 II\It T O4'/ ( ` y re s d-e ICe (• i c fr o <br /> Ti , S r h o C) - as s Si joie . To t.c�v i o C perN <br /> a ) I i Cafi or\ d one. I�r1 ft Korth R�.�,re CtC�I <br /> liU.rf�C.f11' bo Q. mid e 1' <br /> y <br /> I authorize that I am the owner or have permission to behalf of the owner of the property. la i7Submitted By: Date: I <br />