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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> r 0 Madison, Wisconsin 53703-3342 <br /> ;-1-4' Zoning Change Application 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 theproposed Zoning Boundaries <br /> The drawing shall include the existing and proposed zoning boundaries of the property.All existing <br /> A buiill'dings shall be shown on the drawing. The drawing shall include the area in acres or square feet. <br /> 4:wrier'sName Mattel ■ �� Li ,p f r"- ) v-- t • <br /> '(M Y L _ ea( Name .w <br /> Address -��� jrir 4 ddb <br /> m <br /> • <br /> Phone 1 e_/__ '4� fp or .hone <br /> VO • �.t . 55'5 <br /> Email isiDN ... Qez_fc e j et w_oO Eail <br /> ?iti'r7- <br /> 4arcel numbers affected. d TJ <br /> ( l <br /> `Q#5 r 0 as i t ©�Li 8 3 zoo <br /> Section: 01 Property address or location: (-g6J 5 i3 t r-CS/S 4- <br /> Zoning District change:(To/From/#of acres) G— I pnwn A " 2. , D(,Gtt"i..€ <br /> Zl <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 /> © Separation of buildings from farmland <br /> © Creation of a residential lot <br /> © Compliance for existing structures and/or land uses <br /> O Other: <br /> S . cm—De-1-1 . <br /> O,O <br /> I authorize that I am the owner or have pennissi to ad on behalf of the owner of the property. <br /> Submitted By: Date: <br />