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• <br /> i <br /> DANE COUNTY , Zoning Division <br /> 1:,:.1,- EV LOpT ENT Room 116, City-County Building FLANNING <br /> a 210 Martin Luther King Jr. Blvd. <br /> „. <br /> _ Madison, Wisconsin 53703 3342 <br /> �!�r 4 Y' Phone: 608)Wisconsin <br /> 5 <br /> sQ Zoning Change App'icati®� <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 / Agent's Name \ ' <br /> j/)1944 S 7 r/i e. _)t 17'1 �.L'N t'.�t� <br /> Address /DDg ` ecij Zt'r 1i-A v. 6 /i Address 3/ L t 1--/,,g" 44 (--,' k„-,j,e <br /> Phone r®�O8- 21/ - iD i Phone 'v8 - 3Y -251371 <br /> 4 i •-+1S r 12i 2(171 yailez7 • r<dr!'1 <br /> Email Email <br /> Town' Coerk;e.il Parcel numbers affected: 0 7 /c a ( o/ - C' v i <br /> Section: 01 at Property address or location: /Apg e4(:)7 zcr /ft/ <br /> Zoning District change: (To/From/#of acres) / -eX 'T(j 4'11_., <br /> Soil classifications of area(percentages) Class I soils: % Class I I soils:7 % Other._ % <br /> ")et .- -. 141`C AC& <br /> -! 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 /> 8 Other: <br /> Cee fiTjchPe--? . <br /> I authorize that I am the o er or have p) ission to act on behalf of the owner of the property. <br /> ` <br /> Submitted By: Date: ,-5-/fS"' 1,d <br /> A .,./ <br /> — <br />