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DANE. COUNTY <br /> Zoning Division <br /> ision <br /> .c '`tea ` - EVE P ENT Room 116, City <br /> County Building <br /> <<al 210 Martin Luther King Jr. Blvd. <br /> == Madison, Wisconsin 53703-3342 <br /> � t r 'yf Zoning Change Application : ( ) <br /> iq 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 /FQ.6 / 4_ '/047-7—/--- Agent's Name <br /> Address J(3J Z�t2 J/ �n Address <br /> 5� /tsj!/z/6 / Grl/ gGc/O <br /> Phone <br /> 8. -`e- /9 ,, <br /> O <br /> Email �� )D/rie_b me724 .e. Email <br /> Town. .9L,dit Parcel numbers affected: De6/W a7P */'gc't70"7, D61 ? y` vv a <br /> Section: 01 W0 Property address or location: $T34f3 & 'M-/2,k ,�.Q) 07Zji71#11 G(// <br /> Zoning District change: (To/From/#of acres) /1--,7 y/i{7/I7 / J-j / l-/-2•4-7 <br /> i <br /> r <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 /> 4 Separation of buildings from farmland i <br /> Ok Creation of a residential lot <br /> 0 Compliance for existing structures and/or land uses <br /> 8 Other: SEE <br /> R Elit 1 S I El Di' <br /> I authorize that I am the o r or ve permission to act on b- alf of the ow er of the property. ._. //7// ' <br /> Submitted By: ` i� VE * i Date: <br />