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DANE COUNTY Zoning Division <br /> PLANNING <br /> DEVELOPMENT Room 116, City-County Building <br /> ,11r*\ 210 Martin Luther King Jr. Blvd. <br /> . , Madison, Wisconsin 53703-3342 <br /> v` Zoning Change Application <br /> 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 QrGtc c an) A4flt. Alin Agent's Name <br /> Address 837 Lem 4 i i kit eeldb ti)2-S3Y1YAddress <br /> Phone 9°�a — 9 gE' — 09.20 Phone <br /> Email d/ /orn ® 0 c-a Email <br /> Town:_yo k Parcel numbers affected: 1 O 9 )a "-443 -10%0 - <br /> Section: 01 Property address or location: / <br /> Zoning District change: (To/From/#of acres) f? /r/G�c i"f tAat./ fij'pyrt �'' ii n77 l <br /> /l. s`'F7 a-r es- A- .(is) Rh.3 <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 /> O Separation of buildings from farmland <br /> O Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> O Other: <br /> . .� / ' - 4.§11 dA 9_zy. . <br /> /n i /iii� <br /> ieev <br /> 461- �A1 %; ��-_____ !/,' /� Alf <br /> /f �� �i� .tea WI/��-:/ /!1 .0 1L f <br /> I aut 1rize that I a t ow er or have pe sion to a •n behl If of the owner of the property. AT if/ , <br /> Submitted By: z,L./ Date: <br />