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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building if <br /> ;`• .-,1 '-\ t 210 Martin Luther King Jr. Blvd. <br /> ;1 ;- 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 /> VWritten 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 /> cii 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 j?4,kl fi rpKn&'��� Agent's Name16.41 te, I4€(S4td1k. ' <br /> Address S(5-€1 SCta+ 14 1.w a Address "• W• 4 ,ItL u , . (1 <br /> Phone V� f WI ` 6sgl g Phone sex iv l��3 j <br /> (09- 134–(17 $s- <br /> Email <br /> • p � Email 3 thim pfe e/tesip la laAil 4 elol': <br /> ■ <br /> Town* e t t v K A- Parcel numbers affected: e41.16461"o- -11.4.0-1 t 6Q8/at-as- 4 <br /> b se dr2 arose to <br /> oection: 01 Property address or location: 3t' " ■ 044 <br /> Zoning District chang ••�(To/From/#of acres) : • �« – i <br /> ( -i f (0Q.i 0 _ \ y <br /> 4 <br /> Soil classifications of area(percentages) Class I soils: % Class II soils: 050 % Other:_ % i <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 /> 19 Other: "��� <br /> W[. IAN 14e Grtrdii� a S1 aG, Gar�o��cu d0;�"".),r +J: <br /> $ to a( c d �� Al -t�►�c• We 611 1rop7 ill,.., <br /> ____I=' i-1 1104'1 0P /G. - <br /> l <br /> I authorize that I am he owne • a•- .e r.' sion to act on behalf of the owner of the property. Gj�l�/ <br /> Submitted By: e G l Date:_ /l <br />