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DANE COUNTY Zoning Division <br /> I <br /> LAN j DEVELOPMENT Room 116 City-County Building <br /> PLANNING <br /> *.� 210 Martin Luther King Jr. Blvd. <br /> , <br /> tt <br /> Madison, Wisconsin 53703-3342 <br /> 8-�Q Zoning Change Application Phone: (608) 266-4266 <br /> " s . `' Fax: (608) 267-1540 <br /> Items that must be submitted with your application: <br /> 1 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--r oginy44,eJ Al gent's Name (73 reop etCe., <br /> Address I 1 \A/LLLLfa-✓rS r".77 ft-. - Address IRO 2 3L1 r)-÷:-.> -T7 2 , <br /> I Phone -. N1---Li Phone 6T0ACE-1—c 4...) c y <br /> 5) 0 ae_ tJ-..,l ( .0o9) 77e -- 3 J l <br /> Email y� -r-i� 3 r S 3�U1$ Email (? �e✓ ; . -,- - ,7'-„Gd k <br /> Town:.. 5-P(211-- ::). Parcel numbers affected: p( i 1 2.Q'34 -S70'0, 00/ P2 9 `t,voro 4- <br /> Section:-41:t 2... Property address or location: i'g g ) vitLL-1 A-in, 7f)p___ <br /> Zoning District change: (To/ From/#of acres) I-/ 5-)4C-/-43 I J=J 7 �-Z(J A.-s <br /> 1 <br /> /- /ti)c 4-z ( ) <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: % Other:_ % <br /> rative: (reason for change, intended land use, size of farm, time schedule) <br /> Separation of buildings from farmland <br /> • Creation of a residential lot <br /> 6) Compliance for existing structures and/or land uses <br /> Other:L.V.5 77146./-i& (5-7-,V-�/99 / I <br /> i <br /> 1 <br /> 1 <br /> I authorize that I am t owner or ha a per fission o act on behalf of the owner of the property. <br /> Submitted By: ,..1 Date: 7/0 <br />