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DANE COUNTY <br /> Zoning Division <br /> -Ka- <br /> PLANNING-' <br /> :,DEVELOPMENT Room 116, City-County Building <br /> ?a , ,t.: : 210 Martin Luther King Jr. Blvd. <br /> s Madison, Wisconsin 53703-3342 <br /> ' f Zoning g C Change Application I C Phone: 608 266-4266 <br /> o� � ; <br /> Fax: <br /> (608) 267-1540 <br /> 1 40 <br /> Items that must be submitted with your application: <br /> it 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 <br /> property.9 P p 9 p p rty.All existing <br /> buildings s iau-fie shown on the drawing. The drawing shall include the area in acres or square feet. !, <br /> i <br /> Owner's Name iC e,d-' G Agent's Name <br /> Address a '. A/ _, jI • • <br /> _ _ A •ddress <br /> Phone (0 n U yz� vyV Phone <br /> i Vr 3 • <br /> Email Ah aMetlinliK, , ' i7i---- Email <br /> �^ <br /> Town. I7 4 Yo i-— Parcel numbers affected: C Gr /`'Z _ 81 CO 0 <br /> Section:}al. /c Property address or location: C '` J5'/ C '1 /1 kJ y <br /> Zoning District change: To/From/#of �) <br /> g acres) /'7 � // 7� <br /> 9 ( ) SAC /S / F 7' �O <br /> u <br /> Soil classifications of area (percentges) CI s I soils: % Class I I soils: % Other. <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> 0 Separation of buildings from farmland <br /> 0 Creation of a residential lot <br /> 0 Compliance for existing structures and/or land uses <br /> 8 Other d - <br /> c / <br /> SC is �;/L-) 5��� '�/�la�D 'V 5- x i <br /> I authorize that I an = ner or..- -ss' t act on be = .of the owner of the property. <br /> Submitted By: Date: � !� �� I' <br /> II <br /> i <br />