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PLANNIN DAt‘rE Cout.)TY Zoning Division <br /> ``.;: Room 116, City-County Building <br /> o°,'�',. <<-" i 210 Martin Luther King Jr. Blvd. <br /> E .Y�tom-=k Madison, Wisconsin 53703-3342 <br /> ?`_" Zoning Change Application Phone: (608) 266-4266 <br /> a�a <br /> �seo�' ' <br /> Fax: (608) 267-1540 <br /> Items that must be submitted with your application: <br /> v' 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 /> /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 ./PG.f,i/D/¢yL Agent's Name 5,9rp ' Sy/�,/�//,/ - <br /> Address 8.52 G'��giY.1DAJ ,' 49 Address S2S L✓, p'��/ E sT <br /> Go4.4s�/j4,s��// .S37L5-- li <br /> l'�'rf,/fi h//, `j3 S.57 Phone <br /> Phone <br /> Email Email <br /> • 4 No'. '..J <br /> Town. D i' K Parcel numbers affected: `r04; 4, 51 97/ZO, zf 93iot' <br /> BcZ 4-.44L.e. X'4' Ail",-Z2 <br /> Section: 01 Property address or location: A/i..,PSf/„-GL-, b✓/. 3.757 <br /> Zoning District change: (To/From/#of acres) 1 / lta-CG J T9 d -z CR..) <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 /> 0 Separation of buildings from farmland <br /> • Creation of a residential lot _ <br /> 4 Compliance for existing structures and/or land uses <br /> 0 Other. <br /> • <br /> • <br /> I authorize that I am the owner or have permission to act behalf of rwn r of t e property. ��/3�/� <br /> Submitted By/rL �����" Date: <br /> ���,� s: Gam ' j <br />