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i <br /> DANE COUNTY .- Zoning Division <br /> `LAN IN r2-- E ELOpI ENT Room 116, City-County Building <br /> to a j_ 210 Martin Luther King Jr. Blvd. <br /> t Y Madison, Wisconsin 53703-3342• <br /> iota <br /> �' zoning Change Application Phone: (608) 266-4266 <br /> seo ;.. <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 j ij-7/A /C re--C-& X Agent's Name <br /> Address ?/"' " 1.;---4)g- 1671- a66.1 '1' We )rte Address <br /> Phone c 0 G�3 - 9 3 7/ Phone <br /> u fa2erex°1 -Pi''. cd-." <br /> Email Email <br /> Town-&N-C K C 4.,'Q T`h` Parcel numbers affected: 0 gD G - 2 97 - 94'3° - a <br /> Section: X d9' Property address or location: ti a W 110 S'' pr%'Q, 8/4'k eo r-f 4 <br /> Zoni g District change: (To/From/#of acres) <br /> R 1-H 1,01 - 1 E X I . 9 ac re s • <br /> . O of o,ece S _ <br /> Soil classifications of area(percentages) Class I soils: ,% lass soils: % Other._ % <br /> -S e C ...- � 01/4-QQk <br /> - -Narrative:-(reason-for-change-intended-land-use-size-of-farm-tirne-schedule)------ -- — — —0 Separation of buildings from farmland <br /> 0 Creation of a residential lot <br /> 0 Compliance for existing structures and/or land uses <br /> 8 Other. <br /> .4777/f «ftrlcL, L-o,,ur vi ro mO VC- EKE- it lN2 Ewe)EQ <br /> Rr5/ 0E0,/1O/l pLor iPf 6'P DvR M Pa vk// Ota/Mr?fk <br /> E-14 440 /NC 2 efrt r -r6-;. D AL .442avn r /rF 49'/v0 Zd 0 <br /> , LS A(G2lcuLZ </2//L , 0 <br /> I authorize that I am a owner or have pe mission to act n beh If of owner the property. <br /> J�/i' Date: 7" 2.'/"16 <br /> Submitted By: aiA6■ e> "J`ro <br />