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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116,City-County Building <br /> -. ,17-\tt 210 Martin Luther King Jr. Blvd. <br /> Madison,Wisconsin 53703-3342 <br /> 4"- `V 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 � 6e„„cz! 1 ,5,e4 Agent's Name <br /> Address 933_2 V'kr c/ 4i ,6'/1c/c F Address <br /> Phone / Phone <br /> c o? S/,3 9 75/ <br /> Email Email 0/l )/ /7 U/4-6-,fi ra/7. e! <br /> GlYQ 7-/1/ <br /> Town &et/7 7 Parcel numbers affected: Od'07-/!/ 9/X -o� g"O 7-19/-9 <br /> o90-0, 'r ..' 09-0 <br /> Section: 01 i q Property address or location: g3 3a If 9'3 co y ge <br /> Zoning District change: (To/From/#of acres) (-?,5/4-1 9 7/9 <br /> / <br /> / r .1 Z -7 LDT / 03. 9 .4e ? ,4c '/ / ?ko / <br /> /or 3 r,3 .5) 4c. 4 671/ ,ef/g Lo-r-31 Lrr 3 <br /> Soil classifications of area(percentages) Class I soils: % Class II soils: % Other:_ % °-9a�/ <br /> �/•S� <br /> esy 979' <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: yea_ e__ � ��f� � G�l� /, <br /> I authorize that I am the owner or have 'scion to act o half of the owner of the property. /[,i <br /> Submitted By: 4, � s.�� Date: L <br />