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DANE CouN`ry . Zoning Division <br /> P .. A I >= EVELOP E T Room 116, City-County Building <br /> av� 210 Martin Luther King Jr. Blvd. <br /> �; Madison, Wisconsin 53703-3342 <br /> 4442.1,•,: Zoning Change Application Phone: (608) 266-4266 <br /> Fax: (608) 267-1540 t <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 ( <br /> 5/-0 11 Agent's Name //. <br /> Address 7)1/5 �J��� >G� g G( 7 .,e Address 704(.4 e„), <br /> Phone Phone <br /> Email ( // / Email //r <br /> Town: e Parcel numbers affected: . 0�0�- 33/ O 9/ -C� <br /> Section: 41j1 33 - Property address or location: 76-.. /"1' /1/E PC l 2 ‘5-39 <br /> Zoning District change: (To/From/#of acres) 4- — ( ) .N.7 3- f G1 C/ `5 <br /> Soil classifications of area (percentages) Class I soils: 3 % Class II soils: 5 7 % Other. ` 2 % <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> a 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: <br /> • <br /> fer �P �� `/ c-? e Cl--✓t -'� . —� <br /> • <br /> I authorize that I am the ner o rmissii to act on behalf of the owner of the property. l / <br /> Submitted By: _ ' Date: -s��lfJ <br />