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DANE COUNTY Zoning Division <br /> PLANNING‘ D O P M E NI T Room 116, City-County Building <br /> r° `,; 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> - V Zoning Change Application Phone: (608)266-4266 <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 /> /____ <br /> �erm <br /> ee-s Name �,L g1j %� /'L/v' Agent's Name /h iCiat;'1 g. 4s—toi 1 E,c <br /> Address • 7 ailNMI )s I t.MT*153331 f)4Didt).^1,)Ala Address 1/1),5- &or f2/96£ ivrt?(Zec..-64 ci> <br /> Phone (S%S)a ro -6f yfs S11-63 <br /> Phone( 3s-2)”ti -7c?o "faiSO ,4.cr <br /> 53705-- <br /> Email Email <br /> I • h • £ c' vas , , imj IG�s 1 4e/- n <br /> Town. -13w/ er tiN Parcel numbers affected: Q/VG CO'- 09/-S's cc- <br /> Section: 01 Property address or location: "2_s17 A/ E.13£ /1-e /7Cl�,ni efts/3'w£ y►1a S <br /> Zoning District change: (To/From/#of acres) / L«) A-/Cod 6/0cA 6S <br /> Soil classifications of area (percentages) Class I soils: 0/ CI s II soils: % Other. % <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> O Separation of buildings from farmland <br /> Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> O Other: <br /> Ran Pcn2C,V4 s7r✓r, /26. ,fici r5 r L/rOV / it/y% io /cam z,Ne 6 /G'C 2DS <br /> F7 A-/(¢X) 7'0' A-, rive ,:vazi.er fs of <br /> /2.6-57OC/I7,f1L /Nei <br /> I authorize that I am the owner or have permissio ct on,rhalf of the owner of the property. <br /> OA, <br /> Submitted By: �- Date: <br />