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DANE COUNTY . Zoning Division <br /> ..t '<rx; Room 116, <br /> Via, .: City County Building <br /> '" � ...:.. 210 Martin Luther King Jr. Blvd. <br /> U'- = Madison, Wisconsin 53703-3342 <br /> • <br /> �P<;x!r:.=- y' Zoning Change Application : ( ) <br /> �91a Phone: 608 266-4266 <br /> seo � <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 /> DALA/ YY1 4,2-s Ti.SC) <br /> Owner's Name x « Agent's Name - ,,,,,/ RA, �,_e _ S'K,u< wiz <br /> n+ sh.aza_ gra74 4,s n" <br /> ea 04)4�.y.,,.t) q w -i-4. <br /> Address z 94, tpf,'o /2 vI_ S3 S2 i Address /v/ K;^),,,p STS '—' s-3s 97 <br /> Phone <br /> 6,:y- zs� y2 S/ Phone 6 GO - gY-9-�ii,� <br /> Email ST4a59/4-A-6— ,iro,-1/2?/-,eyr Email �ui,vAQ4-de-QC?-47-',/1/ <br /> ,✓ a.�o9 -2 9so� - / <br /> Town 0 2�G U Parcel numbers affected: <br /> Section: 01 Property address or location: v <br /> P dY Z9 ClN fa , - 8.--c. c,AL/GY, <br /> Zoning District change: (To/From/#of acres) A-- � cL , %ci 0.9- - <br /> 7. 3F 7i---C , <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 /> 0 Separation of buildings from farmland <br /> 4 Creation of a residential lot _ <br /> -•. •fiance for existing structures and/or land uses <br /> i <br /> I authorize that I am the own= • ave p-,, on act o • alf of the owner of the property. j� <br /> Submitted By: Date: /w / <br /> / x ' <br />