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DANE COUNT Y Zoning Division I <br /> PLAN NI G,'-_.— EVELO P� EN`S' Room 116, City County Building 210 Martin Luther King Jr. Blvd.• <br /> Madison, Wisconsin 53703-3342 <br /> ‘-'819.: <br /> "' Zoning Change Application Phone: (608) 266-4266 <br /> . <br /> •sea 5'F 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 Cam `>,ei (pa) Agent's Name <br /> Address 257/ /b✓Er 2AAMr Address <br /> Phone S/0 il 6�DA; W` S' Phone <br /> 66?-77325-25- <br /> Email Email <br /> Pa&(,) - gT01.)len"70/4TeNK.EPs. . Cosi <br /> • <br /> ) <br /> Town' �C"�7<Aap Parcel numbers affected: D5/ 0 357 pc—o", {g� <br /> Section: 01 3S 13ic/ Rabe Property address or location: 3 4:1M OLD �TAGE 1-0 AP• <br /> I I y► <br /> Zoning District change: (To/From/#of acres) A-I Evcu_10 .../4.--z. A---t ,g3.`Acmes <br /> Soil classifications of area(percentages) Class I soils: % Class II soils: % Other-JO % <br /> CJE, as <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 /> A Other: <br /> I p JELL ,, 3 � ACRE 5 6!^ <br /> l CTZ-MN bs ON,ell IS Afri- (?'U/c./3 AMC. <br /> ) rtE ) ,a k (✓y '0OitE4' Is o OSe ) tit . PDQ&E E FYI 0 EEn Ibi`•i...6 <br /> cb 601-ET Ack",1 sees 1H4r PeDOEEry IS 4) 74.AMo/ -L 1S Ay- 8viLn4PLI <br /> I <br /> I authorize that I am the owner or have permission to ad on behalf of the owner of the property. <br /> Submitted By: Date: <br />