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DANE COUNTY Zoning Division <br /> lr�,, PLANNING DEVELOPMENT Room 116, City-County Building <br /> s <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: <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 Rosemary M&Robert F.Statz(C/O Eileen Statz) Agent's Name Paulson and Associates, LLC <br /> Address 4897 Carya Road Address 136 W Holum Street <br /> Black Earth, WI 53515 DeForest, WI 53532 <br /> Phone Phone <br /> (608)219-9587 (608)846-2523 <br /> Email emstatz@chorus.net Email <br /> �° dan @paulsonllc.net <br /> Town• Berry Parcel numbers affected: 0807-322-9000-3,0807-322-9500-8,0807-323-8080-8&0807-323-8500-9 <br /> Section: 32 Property address or location:4975 Braemar Road, Black Earth,WI 53515 <br /> Zoning District change: (To/From/#of acres)A-1 EX to A-2(2) <br /> Soil classifications of area (percentages) Class I soils: 0 % Class II soils: 50 % Other: 50 <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: <br /> I authorize�wner or h ve pt<rmi§si act on of the owner of the property. /1 • <br /> Submitted By: I1L Date: 7 <br />