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DANE COUNTY Zoning Division <br /> PLANNING ❑E V P E T E LO M N Room 116, City-County Building <br /> ;`•*' ; 1 4 `� r. 210 Martin Luther King Jr. Blvd. <br /> 1 Ai 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 [lueU2r Agent's Name FA K i *dz - � u S s /Py <br /> ,) <br /> Address /6t Marafseh told Address 450 �l• 8a «w iv' 54'. <br /> Phone <br /> OP el/07 �/ Phone M a di5ort log l CMS <br /> 6 - g35-- 3008 Email 60s-24q_bao <br /> Email <br /> A/on8 15111 m *SSKrVeyi%+a#sbx,lolbat).n' <br /> Town. Ore 10 n Parcel numbers affected: NZ" DS0- 0y - 602.0-d <br /> „4QSto.F S' 170-.3 yt-fher woo-1 ,w <br /> Section: Si 4 Property address or location: Nv r / itie&eis <br /> Zoning District change: (To/From/#of acres) A- I tEl() +o A-2 It <br /> Soil classifications of area (percentages) Class I soils: 0 % Class II soils: $Z% Other: l$ % <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> © Separation of buildings from farmland <br /> • Creation of a residential lot <br /> © Compliance for existing structures and/or land uses <br /> 0 Other: <br /> le p arafe R. S 4Ere 9?I€ -r r &ii 4'i9 , Aid's' <br /> be sold ,z 4 fura/ /e/ 6X17'47 (fir Lv'/1 <br /> r'ewiif!^ (h A -1(21 0 <br /> I authorize that I am the owner or ave t act on behalf of the owner of the property. <br /> ' Submitted By: Date: /IP �j� /`r��/!! 2 ! v <br />