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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> 0 Madison,Wisconsin 53703-3342 <br /> 0«'1`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 /> Owner's Name Rc pt-c. r(e.V. �y Agent's Name <br /> Address 71 G w r. T 1t4 � { r Address or) ate K. G <br /> Phone Phone ��4 '217, <br /> Email �Email I ;D11 j& ?(. e a�OD.C oWj <br /> Town*Nadir ✓) Parcel numbers affected: 0 b 1 't I- - 8 ' f 1- 0 <br /> Section: 01 Property address or location: 247/ 1X't (I.ct5) <br /> Zoning District change:(To/From/#of acres) on c T'T1 In. I./5 CI files—' 7-40011. , et'i fs • <br /> (7.6t AI >r•)( - 112. <br /> Soil classifications of area(percentages) Class I soils: % Class II soils: % Other._ % <br /> sac 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 /> 44— See .0-12-17 0(Rill e-tA,45 • <br /> I authorize that I am the owner or have permission t ct on behalf of the owner of the property. Date: 1 / I lb <br /> Submitted B ��� <br />