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PLANNIN DANE COUNT Zoning Division <br /> �, .``,} ,, ! E Room 116, City-County Building <br /> a <br /> a �a F` 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> seQ <br /> Zoning C a g App 9 i c ati®n Phone: (608) 266-4266 <br /> Fax: (608) 267-1540 <br /> I <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 I <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 L /4,AAV S, 60,d5 „mow Agent's Name L 7i C O JL <br /> Address 12 xo�k'5c,,d - `i"- Slov fl4 c J lS\ Address 1 ci 2_ r ox 1:-1 i-1.26 . I! <br /> Phone " af4 (obS a05 (oa,6 Phone n 2 L r c Oc.- 1 5.' 75 <br /> 002 - Li-4U -aciod <br /> Email Email gf 04.ef-',r: F 12.5't-uSt 13L(2. con', <br /> Town' s K,,,\.- L"• Parcel numbers affected: O 51 C ^ 3--1 1 — °1 19O — o <br /> Section: 01 (Z j Property address or location: s'e off- (4 Q a ,� Is w /�-� <br /> Zoning District cha ge: (To/From/#of acres) 41--= °"'= °'■■ <br /> Igo - LI /r- 1 EX .4D --9 - 1 I q :79 ( C-2 E5 <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 /> 0 Separation of buildings from farmland <br /> 0 Creation of a residential lot - <br /> 0 Compliance for existing structures and/or land uses <br /> ® Other: <br /> 7,(2,t�l r41 1 i---4. 1 <br /> ) ZO N i el-fli %A-u.S C� <br /> I authorize that I am the owner or have permissio • -ct on behalf of the owner of the property. 2/ <br /> Submitted By: Date: 3// <br /> �. 2 <br /> /1 i C D GRol/C <br />