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CO '' 'it Zoning Division <br /> PLR N N I N G DEVELOPMENT Room 116,City-County Building <br /> r 210 Martin Luther King Jr. Blvd. <br /> �--- Madison,Wisconsin 53703-3342 <br /> ,.. 1�, _�' Zoning Change Application Phone: (608)266-4266 <br /> -_= " g 9 pp 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 G ym y 7D///if, 5,v Agent's Name G t x, /4/27q/zo/', ,i3Ex 50 eVi y (�. <br /> Address /54/6 ,Kos,41.eo/,l2n/6 /CD, Address /o/ E. /k/9/n/ 5Z , / 2 33 <br /> Phone 5-% e,o7yr .{/, p _5"3Sgy Phone GA/�,Q/2//JG. ', W/ 535Z3 <br /> <v 'g- 22_6 - .32-/9 6 og - 4/23--333/ <br /> Email Email <br /> r:2,,6 ex e ifre41/er,e. 70 <br /> Town C///1/-07/9 /g Parcel numbers affected: 63/6/6 /2 - /83--- 5'5a — Z <br /> Section: 01 (gj Property address or location: /,j 6 /•(o SHkOWoi(/G /c'(2) iTDUG-/jo,0 <br /> Zoning District change: (To/From/#of acres) 7o ,44-2(4) i ./2a/'7 /?-1(Ex) <br /> Soil classifications of area(percentages) Class I soils: % Class II soils: f>S % Other: /5- % <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> Et Separation of buildings from farmland <br /> 4 Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> O Other. <br /> X/=9To/s/ ,c ff//9,t/LE /5 To ,S4f>E%/ITE /7ov,'t' //,vv d✓7-4"v/<U/<,': f CAW/ ///c <br /> C/20/'L/44/D fo/? %//, 5,4' e 0A. 5/9/7E. <br /> 1 authorize that I am the o ave issio o acf on b owner of the property. // i' /Z Z U/r <br /> Submitted By: � Date: <br /> % <br />