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DANE CouNTy__. Zoning Division <br /> Via. ` ` ``-_s-DEVELOPMENT Room 116, City-County Building <br /> FAA 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> '�`r =Y1 Zoning Change Applicati®n Phone: (608) 266-4266 <br /> 1919 <br /> sca 5r. <br /> Fax: (608) 267-1540 <br /> i <br /> Items that must be submitted with your application: <br /> 1 <br /> o Written Legal Description of the proposed Zoning Boundaries <br /> Legal description of the a <br /> h land that is proposed to be changed. The description may be a lot' <br /> g p p p g p y 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 t 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 <br /> aw C 8, 4._ �4�a1/4.-v't e i 4k cui Agent's Name <br /> Address (3 $ (p 0[J Ls-✓Z ( d O.) Address <br /> S--4-D u.i.k{av--) , W S 3 s 29 <br /> Phone (. Phone�oa- 8 � 3 - o967 <br /> Email L' ` em <br /> Email _ <br /> Town. A{3tot-N Parcel numbers affected: OS/ 0 — OS I-f &S80 - W <br /> 1 <br /> Section: - S Property address or location: 1 3a 6 C n,,n'f /a i 1,-*/ \ <br /> Zoning District change: (To/From/#of acres) 1-t -.�-- "� R N -1 I I, 7 oc rcS i —'- -- , /4 —)-(0 =/p_ a <br /> 1 <br /> Soil classifications of area (percentages) Class I soils: % Class I I soils: 1 0 % Other. SS <br /> II <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) , <br /> 4 Separation of buildings from farmland <br /> 0 Creation of a residential lot <br /> 4 Compliance for existing structures and/or land uses <br /> 8 Other: <br /> 0cc( iA-i-ein-hoc, is -k re.2on-e- arf- G -C pt�c (rknd 4-0 5Q(( --� <br /> netrhLbr WhcJse (ud ho (clefs 0 t� +Loo st des, 4- yvvQ- , 4/ s <br /> i <br /> -zoni (\ Or hc's tayNcl. <br /> I authorize that I am owner or have q7/ r er ' sion to act on behalf of the owner of the property. /i S <br /> 4o <br /> Submitted By: �1 � Date: <br /> abtkatL., I - <br />