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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 /> ril`:di Madison,Wisconsin 53703-3342 <br /> 4, 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 j� Agent's Name <br /> 1ti1cIvrci4IIae �'t lela(8 g SQry�e <br /> Address 4C11:, SaL11n o�"D-r4 v e Address <br /> Phone (06% 5 14 S' 1 b hone <br /> o r •IA &' a - - - 4 lat9a . b <br /> Email lip e, .. , cod p ` ' .ean Email <br /> Town•'u 11 4 Parcel numbers affected: 0 Col O - I ( 3 - 9 3 ) 0 <br /> Section: 01 Property address or location:%t Sii n�fo WIue �.d,, i ) '� . <br /> Zoning District change: (To/From/#of acres) izEs -b 571-C- S <br /> Rte R-1 E lc2 A-cfrg e.0 L4uye ? Q -- Rta —a <br /> Soil classifications of area (percentages) Class I soils: e/o CI ss II soil % Other:_ <br /> 3' --e___ <br /> N-.4..,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 /> Our , 8 + 't-t t:-d,-fc) r erg tu ca t <br /> Al) ate' .4 ' c. 'j A <br /> a 't-a-cl i 1 d-c, S . <br /> ' A)e, have c ikLr 62A --r?'ts 4- A C cL V i veto <br /> +ha-f' we LO D u I d ii c. fb koatt4S4- 0.- hdi -1ic)M d,-/ <br /> -14&0_ .'r n 1-- <br /> I authorize that 1 a, "- • =r or have per nissio act on be If of the o ner of the property. O� J <br /> Submitted By / # 7,4 (�/j, p Date: !/ w/ <br />