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I 3 <br /> COUNTY Zoning Division <br /> PLANNING <br /> DEVELOPMENT Room 116 City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> ?l y' Madison,Wisconsin 53703-3342 <br /> 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 <br /> Certified Survey Map, g � may be a lot in a plat, <br /> y ap,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 S aced 0 -win• of the oca •n of the •ro• • :d • i • = • ndari <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 blame j -- --.�e Agent's Name 4i.enr ••ivc�.4.13 :2( comAity <br /> Address 32=10 i 7f/e7 ? QA.,Ar er•59Qutw' W! Address P.O.60' bi r Agit e Ly'1 -5- 523 <br /> Phone C6°2� `!3£ 5-�z- 53 Phone �(Of�`� X13-3�- j <br /> Qrv&- <br /> { Email Email ///r!��� <br /> Town- Az-8/64✓ Parcel numbers affected: 2/0s72-2- -7e)61-3 <br /> Section: 4at / Property addresser location: S/z SE" y �-3W9 �¢l Gov LOT q # <br /> Zoning District change:(To/From l ft of acres) �X) -r-E) A-Z. <br /> I ' <br /> Soil classifications of area(percentages) Class I soils: �0- % Class t1 soils: % Other.? �0 <br /> � r <br /> Narrative: (reason for change, intended land use, size of farm,time schedule) <br /> O Separation of buildings from farmland <br /> Oft Creation of a residential lot- <br /> O Compliance for existing structures and/or land uses <br /> O Other: <br /> 3v cm,J P ac rill \v 1 \C1Cl e • <br /> 4 a <br /> 1 authorize that I am th=owner or hay=pe 'o •act•n behalf of the owner of e property. <br /> Submitted By: I ? �-, 1, Date: t_ <br /> , .1 11912,�,r i r <br />