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DANE COUNTY <br /> PLANNING DEVELOPMENT Zoning Division <br /> Room 116, City-County Building <br /> 4 <br /> 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> j: <br /> # Phone: 608 266-4266 <br /> Zoning Change Application c > <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 Ma p,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 includee the area in acres ors square feet. <br /> Owner's Name `I. ,g ,, )tOro—U �Sj,v /gent's Name AC//,,V- z__. �J /L Gl �� <br /> .�i�s� y Y� f <br /> Address J 8 C Ci4'cV Eo.44 Address / /oX Il (i4'uPitce5e wi S3 <br /> Phone C 4 ri_f�lJ(�� ( 3 63 Phone t' `-f Z-3 3 ZSY <br /> 6 n? s& - 9/.-/ <br /> Email / SA <br /> SA-A� A.-zeo�tied. Co w ,' 1.6e ,°G0-,,/c�g,,,�,4,v Cdr . <br /> J <br /> Town. 0,144-1 1SDANA- Parcel numbers affected: 0/.6/ 6/2 - 0C3 - (r. - <br /> Section: 01 Property address or location: 3o 6 r f/CC rw PO 4 - <br /> Zoning District change: (To/ From/#of acres) We 1%4 4/9 e r2 - Z . <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: % Other:_ % <br /> ii <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> • Separation of buildings from farmland <br /> O Creation of a residential lot <br /> D Compliance for existing structures and/or land uses <br /> O Other: <br /> e ! ICJ <br /> i <br /> I authorize that I am n- •r •-r• s--on to ac, • :b: alf of the owner of the property. <br /> , <br /> Submitted By: / /1•. Date: 020(• <br /> I /tI". <br /> � I <br />