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tJ� .�rE coura rY . 2 \lA <br /> .>'... Zoning Division <br /> [- <br /> LAN NM <br /> � EVELOPMENT Room 116, City-County B‘diriftlfg <br /> • :•r <br /> ue: 210 Martin Luther King Jr. Blvd. <br /> E_--..�--� W Madison, Wisconsin 53703-3342 <br /> jr ' y Zoning Change Application ( 08) 266.4266 <br /> • Phone: 6 <br /> =1 Fax: (608) 267-1540 <br /> Items that must be submitted with your application: <br /> • <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 lt/ia ��i m t ik, lkAgent's Name <br /> Address Z 9'Z f Y � Y� d Ss 3 <br /> Pp-A....;its e. [' �LC !.0 D.t?J/l/QA dress <br /> Phone tiO c1;15-S', D Phone <br /> Email Email <br /> 1 tt . / ! + r <br /> Parcel numbers affected: ! . I.1 4g" •74/-15/5/.7 - <br /> Section: 01 Property address or location: ?-Sol/ Rai e cn a. GU <br /> Zoning District change: (To/From/#of acres) x/42_ f u 1Qi) S- z5-aeees <br /> f 7 1 e riglo ) L.D 15 a. ` `5"Q e ie-p5 a_9-7-41 a, e tee 5 <br /> Soil classifications of area(percentages) Class I soils: % Class Il soils: % Other._ % <br /> • <br /> Narrative: (reason for change, intended land use, size of farm,time schedule) _ ...._...... <br /> 0 Separation of buildings from farmland <br /> '16 Creation of a residential lot <br /> • <br /> o Compliance for existing structures and/or land uses <br /> 0 Other <br /> . j <br /> authorize that tam ow er or have permission to d n b atf of the owner of the property. //q�/_ <br /> Submitted By: Date: l{! <br /> // <br />