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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116 City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> Madison,Wisconsin 53703-3342 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 Christensen Revocable/trust Agent's Name Susan K.Christensen <br /> Address 1391 Fritz Rd Verona WI 53593 Address 1391 Fritz Rd Verona WI 53593 <br /> Phone Phone <br /> (608)345-8525 (608)345-8525 <br /> Email susanc313@tds.net Email susanc313@tds.net <br /> Town:m 6 n�t.rte Parcel numbers affected: 0 503- oe-3- ‘7010-0 t 050 v-,G3 -95/0-0 <br /> Section: B4 Off'05 "U Property address or location: 13,1 Fri 4-1. ft a c <br /> Zoning District change:(To I From/#of acres) 1314-3 ' A I (!_X) - S•3C- Aeref <br /> tai (EX) }-L) R J — 9 -2:1 A«-cs <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 /> 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 /> t=xGlr)Jrtr b� �a��c` b2'r.�es�n 7�Jbl�l�r�j D�11-14r5 <br /> I authorize that I am the owner or have permission to act - behalf of - owner of the property. Date: <br /> Submitted By: v <br /> - <br />