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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 <br /> 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 Agent's Name Md►tGdd+T O Rev-Txisr <br /> tylAKK leivrC <br /> Address 'P?c' N . wl►4'w 14 - Address 9 F5 Till vat-I-o f vz- OA- P 140 Fr-Tt s - <br /> Phone C�r1,cZ�;I Wr S3f7f Phone �"�6 a 3'S- .r'Ysr 537 I( <br /> kt - ifs. 3603' <br /> Email <br /> Email c$L-P1.4 tq-resr-iJcr$ Lowy <br /> Town' D v n1 k) Parcel numbers affected: o 6 o - S a - '°t so o <br /> Section: ' Property address or location: 4 c)p/JA Q,Q _ ;,w,. u i)3 g I <br /> Zoning District change: (To/From/#of acres) fZ 4 1 i m-' At 1-EC 2 A c rz.r-f <br /> Soil classifications of area (percentages) Class I soils: /0 0 % 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 /> Germ r PA/cc-1.71- 1��L f A zF `7—o J~L r-r-t �� Y'x► <br /> C Y O-- L oq- esr r 0 0.177 . PV 2r r .j <br /> I authorize that I am the owner or have pe ission to act on behalf of the owner of the property. <br /> Submitted By: mks <br /> 04-)2,41- Date: /-1 /�k <br />