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LANE COUNTY Zoning Division <br /> ANNIN . <br /> ❑E�ELOI'M ANT Room 116, City-County Building <br /> s4 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> #'-/kme41 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 Ma p, or an exact metes and bounds description. A separate legal description is <br /> required for each zoning district proposed. <br /> The description shall include the area in acres or square <br /> e <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 l vo Agent's Name 4 (546,1— <br /> Address aU /,J,/ 1�2G^/ S7 dzieldA Address 141i' S40/ RI aeE[L: v/icffoa <br /> Phone Phone 70-(0V0 <br /> Email - / Email ,,/� <br /> Ai lUo . . . . eeetLieCd-e_.Si vt igbtail <br /> Town Parcel numbers affected: G�C?� ao?3-f%�/t 4- - ° n�3'9o4)-• 5 <br /> Section: 41-- Property address or location: 7O7 t'.G4.C(4 ?i, Fed/d e__ <br /> Zoning District change: (To/From /#of acres) t('..9-Q 4( 1C - 0.7/.2 /t/fes- <br /> Po_6d -5 4 6k T .t 4 - 1151 44/›._s <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 /> 0 Separation of buildings from farmland <br /> 0 Creation of a residential lot <br /> 0 Compliance for existing structures and/or land uses <br /> C) Other: <br /> ZOf Ape161,6 /11/4,1t. b4 /()/ e/A41/.),A/op 7z9. <br /> pokook <br /> I authorize that I am the owner or hav ssio to act on behalf of the owner of the property. /� `A <br /> Submitted By: Date: Cl <br />