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DANE COUNTY Zoning Division <br /> PLANNING <br /> C E YE L O P M E N T Room 116, City-County Building <br /> ,, 210 Martin Luther King Jr. Blvd. <br /> Madison,Wisconsin 53703-3342 <br /> Zoning Change Application Phone: (608) 266-4266 <br /> N1 <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 Tom Buglass Agent's Name Royal Oak Engineering <br /> Address 5075 Lincoln Road. Oregon, WI 53575 Address 3678 Kinsman Blvd <br /> Madison, WI 53704 <br /> Phone Phone <br /> (608)320-8074 (608)274-0500 <br /> Email Email <br /> Town: Oregon Parcel numbers affected: 05os 141-s500-1 <br /> Section: 14 Property address or location:425'east of 5093 Lincoln Road <br /> Zoning District change: (To/From/#of acres) From A-3 Transitional Agriculture to RH-1; 2 acres <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: 100 % Other:_ % <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> C Separation of buildings from farmland <br /> O Creation of a residential lot <br /> ® Compliance for existing structures and/or land uses <br /> • Other: <br /> Proposal is to create a new 2 acre RH-1 rural residential parcel. <br /> I authorize that I am the owner or have permi ion to act on behalf of the owner of the property. / <br /> Submitted By: Date: <br /> • <br />