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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> -r 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> Zoning Change Application Phone: (608) 266-4266 <br /> 7/ ~~ 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 4 ) l r 1 6k_ Sz e ke r eS Agent's Name <br /> Address t b ∎a /ryi.f 4 . Address <br /> Phone 1'00$ - 4.v c- 3s oy Phone <br /> Email Email <br /> 3ZekeceS_ 0 A 1‘6 0. c t ( iCon\ <br /> Town Y ` u€. 0Thu AelS Parcel numbers affected: O(0 D b a5 18 ajt 9 <br /> ,ves f ct`/5-d <br /> Section: 01 Property address or location: Mk\Ohe <br /> Zoning District change: (To/From/#of acres) \Cyr-t✓X \ ctX-k - - acr e'S <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 /> O Separation of buildings from farmland <br /> Creation of a residential lot <br /> © Compliance for existing structures and/or land uses <br /> O Other: 1 <br /> �,re0.\--ion o� res�c�•2rl - o \ lb� �pY bv.i irrq G. <br /> vNA 1�, V v i, 'Act e r a,no© S _ t,;(\. J 7r .A5 o k a c� <br /> I authorize that I am the owner or have permission to act on behalf of the owner of the property. ./ _ / ,, <br /> Submitted By + ' • A Date: / <br /> �1 J_ <br />