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- <br /> i <br /> Zoning Division <br /> f. 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 /> g Application p 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 /��a,i�, J 0I�n Agent's Name B 'am(� \ $30ca K. Sr <br /> V y // yvt der <br /> Address 1e'j5 �lbkMn Rd, Address (p.1 ie illhion g, <br /> Phone .0-1-8n tot 53534 Phone ed p/'7'd ri , l c)/ 3353 4' <br /> 60 --" g84/-'1434 ,dg- 7/a.- 4/8, 29 <br /> Email IQU •b�Sari Gact3e. '-E-cn.KIZ•WI,,USEmail ben sarbacke.riPQVrlaii •corn- <br /> Town. c�bt 0-rt Parcel numbers affected: O 5/02--02// — 9700—5 <br /> Section: 01 02,1 Property address or location: SE i/41 • i N e y sermon 21-5--e� <br /> Zoning District change: (To/From/#of acres) A / - / Fron'z, 17- / (6-x <br /> Soil classifications of area(percentages) Class I soils: % Class II soils: /00% 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 /> O Compliance for existing structures and/or land uses <br /> O Other: <br /> I authorize that I am th �7 or have permissi.. • act o f of the owner of the property. r� <br /> Submitted By:c. 79r 1� / Date: //�J�pb" <br />