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• <br /> DANE COUNTY Zoning Division <br /> LAN I `F EvELor E T P Room 116, <br /> City-County Building <br /> o ;a,+F- 210 Martin Luther King Jr. Blvd. <br /> :_r;f Madison, Wisconsin 53703-3342 <br /> Zoning Phone: (608) 266-4266 <br /> -'care age Application <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 /> I feet <br /> u' <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 Arden (13allivezi Agent's Name <br /> Address 8/ 5 11 (I w e)- kd Address <br /> Phone (one - d 3 5 / g 0 Phone <br /> Email Email <br /> Town. keVeb�7 Parcel numbers affected: 0 9©7 "' a S - &coo a-- <br /> Section: 01 ,j Property address or location: by 7 5- 6ct//co W e- k <br /> 1 <br /> R- IA/ 4 3 <br /> Zoning District change: (To/From/#of acres) /ry ��( —�'ro m �-Ades I, <br /> 5 2 r4 / /-PI'an. - / ��//-//�D Cc_c�,aia� Iii <br /> I, <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) II <br /> 0 Separation of buildings from farmland <br /> jar Creation of a residential lot I <br /> 0 Compliance for existing structures and/or land uses <br /> 8 Other: <br /> he) „I-it-C/ d 5-59/(..c--- Pt-4 i'''• r eld5 =4, d <br /> Pr( V e-t-/ O h tjci5f/fly o st,5il <br /> C.,n� , 4f 14-rAaininj Far u>�q.n4 504 ��a-ccS-Ide/'-/h.-let-Li,' ft,r- <br /> Cart! !0 ueit, - C-!n nip e.c.Q! io!ti, cJ <br /> 1 <br /> i'. <br /> 1 <br /> i <br /> I, <br /> I authorize that I am the owner or hay rmission to act on behalf of the owner of the property. 3//06 <br /> Submitted By: a, C � Date: <br />