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DANE COUNTY Zoning Division <br /> LA i D RIE LO p E T Room 116, <br /> City County Building a. <br /> i a 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> 4,s �:: Zoning Change Application Phone: (608) 266 4266 <br /> Fax: (608) 267-1540 , <br /> j; Items that must be submitted with your application: <br /> l <br /> I 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 /> ii 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 /> a "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 I <br /> buildings shall be shown on the drawing. The drawing shall include the area in acres or square feet. <br /> Owner's Name 4!QAI\ Lilt,i le;t r Agent's Name 13.,,15 <br /> Address3 730 Ss e) .ou Qt) Pars F3gI5 Address us-61J. Jciw.4 St, iiiRlitkol 537b3 <br /> Phone �`8_2D 097 Phone <br /> 66, ? 44.- logo <br /> f� q— Gj <br /> Email //in Z/ e/ere//eV/W Email 15 1 e lf- <br /> "v� w►4�t�surv ��9 �s�c��6a n <br /> Town. O7/0 1310% •% )61 Parcel numbers affected: 0e20/ 7/D" .36 Z — 9g2'8 <br /> 1 <br /> Section: 44 ?4o Property address or location: 3730 C;15cl 64►1 <br /> Zoning District change: (To/From/#of acres) f<14 :-2.- ire tvl ( .14 .3 <br /> Soil classifications of area (percentages) Class I soils: G % Class II soils: 6y % Other % <br /> I <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> 0 Separation of buildings from farmland <br /> • Creation of a residential lot I <br /> O Compliance for existing structures and/or land uses <br /> • Other: <br /> -;t ,�- g �erc /of 0�Yo 2,: 4tr4e %Is- . A/i fee' iIi c <br /> wt// re'n i DI ex i-57%-7) h7 1 /2 ew /off a//el e <br /> So id i/-- t es/An 4:w/ hur/di4y ism° . <br /> I authorize that I am the owner or have •eu ission to act on behalf of the owner of the property. ¢7//,�/ <br /> Submitted By: Date: f7 <br /> ice, % 4ti/ �. 4 �i• <br /> I' or <br />