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PLANNING <br /> Zoning Division <br /> : ,, DEVELOPMENT LO P M E T Room 116, City-County Building ' <br /> 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> ' s Zoning Change Application Phone: (608) 266-4266 <br /> �--• Fax: (608)267-1540 1 <br /> Items that must be submitted with your application: { <br /> i <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 1 <br /> required for each zoning district proposed. The description shall include the area in acres or square <br /> feet. <br /> } 0 Scaled Drawing of the location of the proposed Zoning Boundaries si <br /> The drawing shall include the existing and proposed zoning boundaries of the property.All existing 1. <br /> buildings shall be shown on the drawing. The drawing shall include the area in acres or square feet. <br /> Owner's Name <br /> /P1cN�4R ,/ Agent's Name <br /> � Y�O✓/G ,I <br /> Address Z63s- LJASH/AJGTt J ,p Address <br /> S7oa6N7c1A/� .-3�8v <br /> Phone 4,A9-- s''3 - 7 8 F-P Phone ;l <br /> i� <br /> Email Email <br /> a' 4SlZ-adz_ 8/4�/ . . , <br /> Town•AL4/ W' Parcel numbers affected.-05 -4 3&e os-l2 -O?2-SSOf- O il <br /> ArE-Af(J .64,e -5 l /027x7 <br /> Section: 01 9 Property address or location: A /0-'J ,mac CS/11 '(377 y7 <br /> Zoning District change: (To/From/#of acres)A-Z //ta In i t ) 36.if Az. (' C-Z f eoN /1-1/Ex) t'�• Ac. <br /> r- <br /> Soil classifications of area(percentages) Class I soils: 20 % Class II soils: 75 % Other. 5- % '_ <br /> 8 <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) `, <br /> O Separation of buildings from farmland f <br /> l <br /> 0 Creation of a residential lot 1 <br /> 0 Compliance for existing structures and/or land uses <br /> O Other `` <br /> 611f L_ lb c-a 11 ° Q. - 4 c/ ,Z241Ce7 Zd Co a t r'c,4_7 <br /> "/(0/oPyt <D L.,2/ o0C 6 ce- s 1 /sc) Oecc.Emote /4e 5Z zie it <br /> 11 <br /> 4.fUrP 4/ 0,•-< /'i, A )4 of(..c.)coy 7 / 240'c ?lc- <br /> `Zc.)/ckK1��G,!e f o A? P/ tiP V c c�S- 4<�'GS G+�i c� ��� A cf 24 E©�� /Q <br /> h <br /> C <br /> // A /-_:(40 . <br /> 1 <br /> I authorize that I am the owner or have permission to act on behalf of the owner of the property. _ /7 r /"c <br /> Submitted By: Date: <br /> Ii <br /> i <br />