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PLANNIN <br /> DANE COUNTY Zoning Division <br /> - �, E -T Room 116, City-County Building <br /> li o°g K <<a�, 210 Martin Luther King Jr. Blvd. III <br /> • <br /> Madison, Wisconsin 53703-3342 <br /> P.�yr IAA Zoning Change Application Phone: (608) 266-4266 <br /> Y <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 /> !I. <br /> Legal description of the land that is proposed to be changed. The description may be a lot in a plat, 1 <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 /> I 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 LI I Agent's Name <br /> Address 3 : _ . , 4 _s • . `Address <br /> Phone Avg -n3y -53 `S,' c• <br /> Phone <br /> Email L Email <br /> \ ,rncr`[c,.� 75,rm E >/Gthee . C�n1 <br /> li <br /> Town.016%67)ce_,ck. Parcel numbers affected: C�Z%g- >2 9,520 -'/ t4- c(c)/) - : <br />