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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> AvP k 1 1 210 Martin Luther King Jr. Blvd. <br /> t Madison, Wisconsin 53703-3342 <br /> 4<4.0 Y Zoning Change Application Phone: (608) 266-4266 <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. p <br /> 4 z4/ <br /> o Scaled Drawing of the location of the pr os d Zoning Boundaries <br /> The drawing shall include the existing and pr osed zoning boundaries of the property.All existing <br /> buildings shall be shown on the drawing. Th drawing shall include the area in acres or square feet. <br /> Owner's Name av i, �,(�ls Name Je cy A�- Gw'1 sot r l ry L�Etc1 <br /> Address 66 5 p ydOp RI , �a4ae_ Address SAS _ _ . . J : , _ ./, z!) <br /> �i 3 Q 'S geo <br /> Phone s �9 Phone �� �D <br /> Email Email <br /> Jeoly .y• ac-Ke_Fak-Kel-by,.1e ease ,y. <br /> Town. Tht,..t-e_ Parcel numbers affected: ORO d 35/ g6SOC) <br /> Section: 01 Property address or location: 6ijT Hyslop PU DAIv� <br /> Zoning District change: (To/From/#of acres) Ar I .._2(t-lo S iw� ! —1-2:) -R H 3 <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 /> O Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> O Other: <br /> Lei i do o I41 ho - a Ni �j�,(.C,iJ tJec..s O � <br /> SbO ' 14Wa <br /> I authorize that I am the owner or . e ,- • sio f •n be.:. of the owner of the property. 1 <br /> Submitted By: Atik ���g�� Date: <br /> _42A/26 <br />