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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> ' * `- 210 Martin Luther King Jr. Blvd. <br /> • Madison, Wisconsin 53703-3342 <br /> , Zoning Change Application Phone: (608) 266-4266 <br /> Fax: (608) 267-1540 <br /> Items that must be submitted with your application: __ - __ <br /> I 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 /> I 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 �GKa Alut.L�AR.Kie.�/ Agent's Name ,�`t ��� Su�{vc.y�/.iG <br /> Address !t GLE.r4kroil R.6.1626t�0.J 53575' Address 1.04 tq WS-*T s4*tN1 Sr s uU■41�4414E, <br /> Phone (P c16 - 4t{S '95 `I Phone (pVi - T5-`575 - <br /> Email NIA Email t OA- e, lALLi eted15vn504.0EyL •&Al <br /> Town: Oregon Parcel numbers affected: 0450--L54- 5t0-o - 05L' • L 5'-- $7co-a <br /> Section: 15 Property address or location: 934,3 95( &t -AO f *e j OtZEGo" 5357-s <br /> Zoning District change: (To/From A/#of acres) 7-)g Acr-$' apses R N j To Rif- .2 <br /> y)H /� w5 a)1211 A-e2 Ta 4 -,1 i 1) /7 0).6 d Adis re. zi-l-3 rc> A-)( <br /> Soil classifications of area(percentages) Class I soils: b % Class II soils: 75-% Other: -)'S <br /> Fe_13 (`oy.) -c (is-/) Ado,(. ,5%) <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 /> O Other: <br /> See lef-IE/ o i -i-4.-x f <br /> I authorize that I am the owner or have permission to act on behalf of the owner of the property. . / /� <br /> Submitted By: Date: / 7 <br />