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Fax: (608)267-1540 <br /> Items that must be submitted with your application: it r, �� (74 ° V(a ek )t( 9— � <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 } N0.-��f2"`�,r� Agent's Name <br /> fvl Address X8/7 4 i•ii M /( 1c. 5/09/ikA J Address <br /> Phone <br /> �O� ,-)79 - )2 I ( <br /> (' ,�' Email <br /> Email <br /> 1.13 Wa,�cior• �y, . <br /> Town./7/ SekAi" *.'4,5 Parcel numbers affected: 0/6 10(0I1 -01l ) - 9a-I9---- 3 <br /> Section: 01 Property address or location: to f ( <br /> Zoning District change: (To/From/#of acres) <br /> -011111141E41111NiaggIMIIII‘Ers 7.6' L(' -1 re,,,-.. 4-((c4)A„..) RI-1-r) ,..2.76 perts <br /> 71,44 It ,rr s -9--,r to <br /> Soil classifications of area( Class I soils: % Class II soils: % Other:_ % <br /> (percentages <br /> f kac,i,e.d- <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 /> idai V /i/l-- if, ra,/, f r A-- c- O.,Jb•,'t(1, be.;or,, 41,c__ pohycv y <br /> ,PSi4C rte 0_ fo L e.- ryr 6.1'1A11 6,054r1,.L.1-i v✓"- v 7Y)pl"ye <br /> Oa. da naF have 5/Ie5 D' 3)IIe,As Ara„,v. F;:„-- -FhL Di-41;1/44;/ill <br /> or b�ri vvt ..r Pis,d ente o•f- ft„ -- )-:,,►,,e.. J <br /> I authorize that I am ih`��. •• �-Ion •act• behalf of the owner of the property. ����1 J6 <br /> Submitted By: Date: l/C <br />