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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> 4 210 Martin Luther King Jr. Blvd. <br /> Madison,Wisconsin 53703-3342 <br /> 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 / y, Agent's Name 6„/X4xf ad <br /> Address 40. I. _ <'i //. Address c5,2 6r <br /> Phone �� - Phone G D F a 3 SO <br /> Email Email <br /> rez5sAAArgle. as ll u., 44/4/4 . cO,AAw (,c)?u r^e✓r to/1)4 S-• caAI <br /> Town- It .--r y Parcel numbers affected: o9a 7-- 1"�Of�/O� I O osf <br /> Section:44 / Property address or location: fz,,,4 5j z, G / le <br /> Zoning District change: (To/From I#of acres) /11"-`72--x <br /> Soil classifications of area(percentages) Class f soils: % Class 11 soils: olo 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 /> 1 authorize that i am the own or have pe ssion to act on behalf of the owner of the property. <br /> Submitted By: Date: ?/ /Jl� <br />