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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> {' , 210 Martin Luther King Jr. Blvd. <br /> i Madison, Wisconsin 53703-3342 <br /> Zoning Change a n e A l i c ati o n Phone: (608) 266-4266 <br /> g Application 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 /> t <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 Blake Hart&Scott Wagner Agent's Name Paulson and Associates,LLC <br /> Address 2916 Pebble Valley Ct 53590 (Blake) Address 136 West Holum Street <br /> 2920 Pebble Valley Ct 53590 (Scott) DeForest, WI 53532 <br /> Phone Phone <br /> (608)516-4463 (608)846-2523 <br /> Email s firstweber.com Email <br /> Scott=wa dan@paulsonlIc.net <br /> @ @paulsonllc.net <br /> Town. Bristol Parcel numbers affected: 0911-203-9001-5&0911-194-7200-0 <br /> Section: 19 Property address or location:2920 Pebble Valley Ct 53590(Scott) <br /> Zoning District change: (To/From/#of acres)A-1 TO R-1 AND R-1 TO A-1 <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: 100 % Other:_ <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 /> O Other: <br /> Lot line adjustment <br /> I authorize that I am the o,,,.. =-rmissi.• to- .ehalf of the owner of the property. @- <br /> Submitted By. Date: `��� <br /> Mir <br />