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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116,City-County Building <br /> * -tr 210 Martin Luther King Jr.Blvd. <br /> Madison,Wisconsin 53703-3342 <br /> Zoning Change Application Phone:(608)266-4266 <br /> Fax:(608)287-1540 <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 sschzoning 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 �� // N Agent's Name /171 �h ZPJ <br /> Address i� / - ! J1. _ Address �Q <s--71 -1// S S 3 7ff <br /> Phone 9G 2 6 SY Phone D E 2 3 J - �2 z 4 <br /> Email Email <br /> rv5$AMrgtcba,lliuecl 4A-/L • CO/$4 (,tJ t✓-ert .Jd f ktw s•C'd,41 <br /> Town — 1� Parcel numbers affected: co 4o 7-33/-906/-0, 5./ 4-0 QS� <br /> Section:.�it�? Property address or location: �� �j De e/r e/ e <br /> Zoning District change:(To/From/#of acres) ..1:4"-/ X -71-e) ,QM- <br /> N� c cNK6. Ka-ct€ tt t2otii <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 /> O Separation of buildings from farmland <br /> • Creation of a residential lot <br /> © Compliance for existing structures and/or land uses <br /> O Other <br /> I authorize th the have at I am e or ha to act on behalf of the owner of the properly. /J <br /> Submitted By: Date: ?j/2 <br />