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• <br /> DANE CourNTY :- Zoning Division <br /> �` a '` t "=' �.OPMENT Room 116, City-County Building <br /> a 210 Martin Luther King Jr. Blvd. <br /> ., Madison, Wisconsin 53703-3342 <br /> ' �.;:. y_� 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 Agent's Name <br /> Address Address <br /> Phone Phone <br /> Email Email <br /> Town. VS G Parcel numbers affected: <br /> Section: s‘..4 Property address or location: `IS PI r ,ie. K- <br /> Q� <br /> Zoning District change: (To/From/#of acres) A-/ r_ 1) - <br /> Soil classifications of area (percentages) Class I soils: % Class I I soils: (-A% 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 /> 8 Other: ____c <br /> ee c-OP i)pip <br /> I authorize that I am the owner or have permission to act on behalf of the owner of the property. <br /> Submitted By: Date: <br />