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DANE COUNTY Zoning Division <br /> PLANNING <br /> DEVELOPMENT Room 116, City-County Building <br /> r 210 Martin Luther King Jr. Blvd. <br /> 0 Madison,Wisconsin 53703-3342 <br /> $ V Zoning Change A pp lication Phone: (608) 266-4266 <br /> `FI , <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 Ile e� /C € <br /> Agent's <br /> Name <br /> Address g7 I(0 1 dQ� n y. Address <br /> Phone O GgGGt <br /> Phone <br /> Email Sd f lac r_ ya 1 C��C(frn Email <br /> Town. pi M ro5. Parcel numbers affected: b 50-7 -7a, 9O60-g <br /> Section: 01 Property address or location: (ell 6 RIG(ge � &II v I"I let W S3S <br /> Zoning District change: (To/From/#of acres) 1\- t ark -'S 9.'1 ""CO--Es <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: % Other:gs % <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> O Separation of buildings from farmland <br /> O Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> OO Other: <br /> &Wing home in e aY . <br /> L6-1-) wl`II be access tiia Shored Grit. . c.y <br /> m 1l� fcl r. - — <br /> I authorize that I am th wner or have ission to act on behalf of the owner of the property. �I�/I <br /> Submitted By: '/ O Date: <br />