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• <br /> • <br /> IA.t• E COUNT -F Zoning Division <br /> �� ``a ` LopME T Room 116, City-County Building <br /> � 210 Martin Luther King Jr. Blvd. <br /> ., Madison, Wisconsin26563703-3342 <br /> P ,r 5 Zonin Change Application <br /> : ( ) <br /> ,a,a Phone• 608 266-4 <br /> `scull- 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, I' <br /> Certified Survey Map, or an exact metes and bounds description. A separate legal description is <br /> I 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/70,, / Pgint's Name <br /> 4 A �J h ddress <br /> Address � - � � , ��, .. <br /> Phone O" ~ `�� g�� Phone <br /> 68 —204) —V63°) <br /> Email Email <br /> C.)4�t J'pQ 0 �e l 10 r <br /> Town' Parcel numbers affected: 610(0—Xz'3 8062 -9 <br /> Section: 01 Property address or location: r G.0 .5:41 1ôSe Al y ? <br /> Zoning District change: (To/From/#of acres) 3.Ct 4tz5t— talk 1 ` iSt5 t.e.1%. <br /> VASt cry .Al5 lc.3.- of t <br /> 1 <br /> 3. 3? <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 /> - <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 /> 8 Other: <br /> L . Asc. At, O. SL3 0-14 (126r l 3 6\ lit-'4 Mz +o ao I - . <br /> vk eg .tk . a v . \me W&d rd ci <br /> ... A. i III° AL&.-AIL- rido-1- isityft-t loa..kiL II-0 Ata LtTlt <br /> . RvisED <br /> I authorize that I am the • ner or hay- permi• ion to act on behalf of the 4#• ner of the prop-rty. /L 2 <br /> Submitted By: Date: / 1 <br />