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- II <br /> DANE COUNTY Zoning Division <br /> . '�'-: E Ell ENT Room 116, City-County Building <br /> °1--^a � j" - 210 Martin Luther King Jr. Blvd. <br /> ?FL, ? Madison, Wisconsin 53703-3342 <br /> v `rt=„: zoning Change Application Phone: (608) 266-4266 <br /> searl�' <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 I <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 F. l I ( l Agent's Name <br /> Address `7 Li `Z-3 1 F 1 rr �p ,) Address <br /> Phone V —. • ` —c, "-- b Phone <br /> Email wln� �cJ f- el:.c3 Email <br /> - 1 x.315 - 0 <br /> Town i:::).r7)--' L--P, Parcel numbers affected: O 9a <br /> Section: 01 Z0) Property address or location: 'Tt-f23 PI OYl-7---ro �p , , <br /> Zoning District change: (To/From/#of acres) : - - <br /> WO ..- - <br /> • <br /> Soil classifications of area(percentages) Class I soils: % Class soils: % Other._ <br /> Se'e j)----4-k(_..k ' <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 /> gCompliance for existing structures and/or land uses <br /> 8 Other: 1 -c 1 r <br /> i�Z,s- 'S &d V)-T���'� (' 1 +4-,-�c� �LI�t vk n e� cJ S <br /> -4,?:) be ,r0 U 7 /_;�' 1 0 T /I c__.p <br /> • <br /> • <br /> j <br /> I authorize that I am the owner or have permission to act on behalf of the owner of the property. V /// <br /> Submitted By: Date: V <br />