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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> ;sex �•� <br /> } 210 Martin Luther King Jr. Blvd. <br /> }' Madison, Wisconsin 53703-3342 <br /> =ea <br /> V - <br /> �� � Zoning Change Application Phone: (608) 266 4266 <br /> `` ' ='` g g p p 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 Michael Samuel/Nancy Thomas Agent's Name Paul Spetz c/o Isthmus Surveying LLC <br /> Address 440 State Highway 78 Address 450 N. Baldwin Street <br /> Mount Horeb, WI 53572 Madison, WI 53703 <br /> Phone Phone <br /> (608)514-4882 (608)244-1090 <br /> Email mikeandnancy @tds.net Email isthmussurveying@sbcglobal.net <br /> Town: Perry Parcel numbers affected: 044/0506-293-8000-9&044/0506-294-8500-3 <br /> 1 Section: 29 Property address or location:440 County Highway 78 <br /> Zoning District change: (To/From/#of acres)Convert 2.75 Acres of RH-1 and 3.61 acres of A-1(ex) into the <br /> RH-2 District for a total of 6.36 acres. <br /> Soil classifications of area (percentages) Class I soils: 0 % Class II soils: 0 % Other: 100 <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 /> 0 Other: <br /> Samuel/Thomas own existing lands zoned Al(ex) with a Residential overlay which <br /> was rezoned to RH-1 per DCPREZ-0000-06800. Samuel/Thomas wish to create a <br /> 6.36 acre lot which includes the land west of this zoning district up to State Highway <br /> 78, and including the driveway. A Certified Survey Map will be prepared to <br /> divide/create this parcel. <br /> I authorize that I am the owner or ave permission to act on behalf of the owner of the property. 02/15/2016 <br /> Submitted By: Date: <br />