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DANE COUNTY <br /> PLANNING N N t N G Zoning Division <br /> h DEVELOPMENT Room 116, City-County Building <br /> ` tl 210 Martin Luther King Jr. Blvd. <br /> •0; Madison, Wisconsin 53703-3342 <br /> 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 Patrick Buchholz Agent's Name <br /> Address 5216 black walnut dr Address <br /> Mcfarland WI 53558 <br /> Phone Phone <br /> (608)575-0380 <br /> Email patb @sharedmed.com Email <br /> Town Cottage Grove D Parcel numbers affected: 018/0711-104-8000-2, -112-9250-8, -113-8590-8 <br /> Section: 10 Q Property address or location:2045 Cty Hwy BB Cottage Grove Wi 53527 <br /> Zoning District change: (To/From/#of acres)RH 1 /Al EX/ 3.8 <br /> Soil classifications of area (percentages) Class I soils: % Class I I soils: % Other:_ % <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> O Separation of buildings from farmland <br /> O Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> O Other: <br /> This will be our primary residence. We would like to begin construction this summer <br /> and move in late fall. Total acreage of our property is approx 70 acres. Proposed <br /> location Is currently green space and has not been used in agriculture for 10 years. <br /> - - • - . • • ■ - • • - • - • • . • • • . • • • • - . <br /> I authorize that I am the .wn. . h! - ission to act on behalf of the owner of the property. <br /> Submitted By: Date: 2" S <br />