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DANE COUNTY Zoning Division <br /> PLANNING <br /> DEVELOPMENT Room 116, City-County Building <br /> 4, ) 'V, 210 Martin Luther King Jr. Blvd.fl Madison,Wisconsin 53703-3342 <br /> t.J 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 3 Fo..7 - C/¢ , / e_ _Aggeenntt's Name © (,U Al <br /> Address I '�4 W. U A010 ILI Address &9CICLYA k1 ._,5-3S-7--/ <br /> Phone (Oo9 t, qg — la 6 3 Phon )5) 64 ir— 4s-s— 10 lP 3 <br /> Email Email <br /> Town:_ T' U Th- ITN_A Parcel numbers affected: Os0 v 2y tL' 6 --4 _ <br /> Section: IF '34- Property address or location: / Wo AI /41 i', <br /> Zoning District change: (To/From/#of acres) Z .1 — ---/11� J I P <br /> Soil classifications of area(percentages) Class I soils: % Class II soils:/0° % Other:_ % <br /> Narrative: (reason for change, intended land use, size of farm,time schedule) <br /> O Separation of buildings from farmland <br /> Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> 0 Other: - bk(, 047b/12— <br /> , � , <br /> ���✓�r���/�iLtt/ /_ iii /L � %�/:— <br /> /i/ (/I! <br /> / � , ��i� I / / / <br /> / /.� , <br /> I authorize that I am the owne • have permis. • to act on behalf of the owner of the property. 3 /// <br /> Submitted By: i �� Date: !. J/ !� <br />