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DANE COUNTY <br /> - ,, Zoning Division D E V E Lo P M E CT Room 116, City-County Building <br /> ' � <br /> ,4r " <br /> 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> Zoning Change Application Phone: (608) 266-4266 <br /> Fax: (608) 267-1540 <br /> • <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 Br/4cc ely P 1)4m_ JJOPfl Agent's Name <br /> Address 837 Lu/n Avzilde l/atr,'/o? I 53Yf Address <br /> Phone gad 18? - 9aD Phone <br /> Email ' aorn ��, ou�, C 721 Email <br /> /.�CJ ® ! <br /> Town: yo ,-k Parcel numbers affected: 1 0 )4- _9 0%0 - Q <br /> Section: 01 Property address or location: <br /> Zoning District change: (To/ From/#of acres) lD /'/G i.// tt ad Awn pa/den**. 1 <br /> //s 'r 7 ac-ii J A'a-(5s) �W 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 /> 4 Separation of buildings from farmland <br /> © Creation of a residential lot <br /> 0 Compliance for existing structures and/or land uses <br /> 0 Other: <br /> III Mc4 <br /> t_ <br /> iii ,�� /L.1.,i /A <br /> I aut,rite that I a t ow er or have p sion to ac,•n beh If of the owner of the property. <br /> Date: <br /> Submitted By: z/�u1 c7 U <br />