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DANE, COUNTY .a Zoning Division <br /> .. i -'r--: EV LOp E ` ' Room 116, City-County Building <br /> o J.) � 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342• <br /> `r oning Change ��pAica I®�4 Phone: (608) 266-4266 <br /> w�a iv <br /> a�' 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 /> shall be <br /> buildings show o t e drawing. Tr�i rawing shall include the area in acres or square feet <br /> g s i t F' a". 'ovi J r,. <br /> Name U k . Ageeri Name A , �-L, vJ <br /> Address ,q-,a3 R� T1 / ••, a .� tj.- Address JV 5 14y 7$. <br /> 1`1�` (A o r t w:s s�� /l t-- r-e to ` �3 6357 j, <br /> Phone Phone <br /> G - 4/3) --G 1 6,3 ' p . � . _o 7 'V4' <br /> Email , Email <br /> Town fJ A Desk Parcel numbers affected: J 2U Q /c <br /> Section:. 43a, Property address or location: /� <br /> Zoning District change: (To/From/#of acres) 4-/ ( I x. +O C k a <br /> Soil classifications of area(percentages) _ Class I soils: % Class I I soils: % Other._ % <br /> Narrative:-(reason-for-change,-intended-land-use size-of-farm,-time-schedule) <br /> 0 Separation of buildings from farmland . <br /> 0 Creation of a residential lot . <br /> 0. Compliance for existing structures and/or land uses <br /> Xi Other. <br /> L.0,-,, d p. r e,le∎C-∎ .12. RC) - ti eV t--R- us .-E-0 5#, OW . <br /> PT)P 5n1' I- r.. ___ , , <br /> • <br /> . . <br /> I authorize that I a the .wner or have permi o o a• •. behalf of the �, ner of the property. — 17 // <br /> Submitted By: ► Date: ` <br /> • A. AA■ i I-...■ AA.&'/ <br />