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DANE CouNTY ;_ Zoning Division <br /> FLANNINP } EV8L0P� E T Room 116, City-County Building <br /> v° aa ` 210 Martin Luther King Jr. Blvd. <br /> _ � Madison, Wisconsin 53703-3342 <br /> �.'.rim�,� �1��' <br /> s <br /> , ,q. Zoning Change A�plioa�ion 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 p `�, Agent's Name �� <br /> Address \\L.,,) �� <br /> n u,A.'h Tv-� Address A vy...t <br /> Phone A C 0 u a� \ 5 5 1 Phone <br /> Lot - 1\ - ck c \ CcCI\\ <br /> Email , <br /> 0\ "h L L (V Cv� CCx rt ) fr.w► •c vt,. <br /> Town- 0A.A1A ∎ek Parcel numbers affected: 0S7 J'C /�C' ' 0 -6 <br /> Section: 01 Property address or location: S-) S US ki ;j S f <br /> Zoning District change: (To/From/#of acres) - \- <br /> � C.,- <br /> a <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 /> G Other: i <br /> S vet L o .,fsa.‘tvn Lu�r.sc 1 a ^r ei V. c_�v„ <br /> � r2) . 1 r L C )- 7 ` <br /> /�v� <br /> ' <br /> I authorize that I am the owner or h ve p ission to act on behalf of the owner of the property. ' , , t s <br /> Submitted By: \ Date: J` <br />