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DANE COUNTY Zoning Division <br /> -' n` s __ .i*dME T Room 116 City-County Building <br /> Aa?-"'"A- <br /> 210 Martin Luther King Jr. Blvd.• <br /> Madison, Wisconsin 53703-3342 <br /> y, `r =: . Zoning Change Application c ) <br /> �a,o Phone: 608 266-4266 <br /> �rsQ�;f <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 M iGAcie, Z YY\Z.4 rs.c.r Agent's Name <br /> Address 11')C) ki• Jno %a beep 1+44 O. Address <br /> Phone bbg- -)I a- 7 s 3 l 6? -52) 1 Phone <br /> 6vr,".4 t o A c PA4e ADA V .t.C6`it <br /> Email Email <br /> Town. Caft4$c C-vpua Parcel numbers affected: 0 /53 7 ,50Z— <br /> Section: 01 Property address or location: 177v (V-. ,,,,f-Jo al td,,,,crf Cu;• $3 5'3( <br /> Zoning District change: (To/From/#of acres) A `Z vo.-)-i A-/fix /9./2- <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 /> 011 Creation of a residential lot <br /> 0 Compliance for existing structures and/or land uses <br /> 8 Other: <br /> IPI A A•1/411 ci A.rew ID 4 1c7c ca.,/n:l/ Mean be` <br /> I <br /> I authorize that I am th owne or eye ermission to act on behalf of the owner of the property. //o <br /> J r1_ 2,, <br /> Submitted By: Date: I <br />