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_ DANE COUNTY <br /> Zoning Division P LA N N[N G D E V E L O P M E N T Room 116, City-County Building <br /> _ <br /> 210 Martin Luther Kin <br /> g <br /> Jr. Blvd. <br /> Madison,Wisconsin 53703-3342 <br /> +' Zoning Change Application <br /> Phone: (608)266 4266 <br /> Fax: (6 8)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 Michael&Renelle Champagne Agent's Name Paul Hynek <br /> Address 2822 N Hill St Address W9501 Britzke Rd <br /> Cottage Grove, WI. 53527 Cambridge, WI. 53523 <br /> Phone / � Phone <br /> le,P% 617 7- q 7 6 1 (920)605-8560 <br /> Email C I, M pig I�>S v pmail <br /> hynek1234@gmail.com <br /> L7 T @gmail.com <br /> Pleasant Springs <br /> 0611-102-9000-4 Town: Parcel numbers affected: <br /> Section: 10 Property address or location:2822 N Hill St <br /> Zoning District change: (To/From/#of acres)Al to_A-2(14 .3 7 Q _ a__ �_n_ ..._,.. <br /> Soil classifications of area(percentages) Class I soils: 214,t_% Class II soils:A4 % Other:90 %#t <br /> 1 <br /> Narrative: (reason for change, intended land use, size of farm,time schedule) <br /> O Separation of buildings from farmland <br /> 4 Creation of a residential lot <br /> © Compliance for existing structures and/or land uses <br /> 0 Other: >Q <br /> ci3epliet41/ hiv,R,L allig ,-ideal-ta4 iSliffr) *Air _ <br /> ■ <br /> / • �� �L. <br /> r0 'AV i. , -' • / ∎ .Icf (7 p/1�-C�5. %hd /2ei>_A <br /> PA-0104) rl ‘4 /o /ems._, . <br /> I authorize that a the owne ' ? ve permissi i for ct on behalf of the owner of the property. wf —Ne7 Submitted B. : 1I�_ � �. �, I ' Date: � , (CJ-/ r .- - <br /> ■ <br />