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DANE COUNTY Zoning Division <br /> ,,i'�''0, P LA N N[N G DEVELOPMENT Room 116,City-County Building <br /> ;' .1r 1�-' 210 Martin Luther King Jr. Blvd. <br /> h 0 Madison,Wisconsin 53703-3342 <br /> r;' : v 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 I°vSe--( / & f/ , Agent's Name ,7,,, itzeyre /, ��S <br /> Address (OSSS7n CoL/, L r vy Xi f4zn Address a.p S? S f / x11 S <br /> Phone Phone G-D g- Z 3 S- )c9 Z y <br /> &De. 9‘o 3- ( 02 <br /> Email Email <br /> rrssh' grJ'e Lz/cvc 0_ t t4I C nevi (.4c.).e__X77 _S, ee,A-1 <br /> Town. 02.x it,r i Parcel numbers affected: p - 0 70 7-- P7?- FS-O C - 3 _ <br /> Section: 01 3¢ Property address or location: G t/9.4/ Co /7` y <br /> Zoning District change:(To/From/#o f acres) A/- f X A A -y �- /,S// /. p0`�o <br /> - 4 -? s . ss , <br /> Soil classifications of area(percentages) Class I soils: % Class II soils: % Other: % <br /> Narrative: (reason for change, intended land use, size of farm,time schedule) <br /> © Separation of buildings from farmland <br /> O Creation of a residential lot <br /> © Compliance for existing structures and/or land uses <br /> O Other: / <br /> 1 - ' lr--`-- a` _ / / .�L �I/ <br /> //�ILi7/_Il��l( ' . �/ 2 1 /1/i/ / V <br /> I authorize that I am the•weer or ha - !.- i,n to n behalf of the owner of the property- <br /> Submitted By: ' /,/ z)--ci,��� Date: /7-16 <br />