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DANE COUNTY <br /> Zoning ivision <br /> -411r40 <br /> ;, PLANNING DEVELOPMENT Room1 16, City-County Building <br /> ,' 210 Martin Luther King Jr. Blvd. <br /> 14 ' Madison, Wisconsin 53703-3342 <br /> 4 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 /> is <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 U� ��k fSD Agent's Name <br /> Address (3 9 Address <br /> Phone 6°S__ `�3— �� nO ��3 Sb`w' Phone <br /> Email 3 Email <br /> J t'1re ea\ z.r ov)SLrV <br /> Town.15)1 Parcel numbers affected: ci.Z`11E5'3t0 , (`66.;a9l��a�o d we Nctl cA <br /> v(60,2-'1IgtASoo be D?t.zt <br /> Section: d`j Property address or location)d►,r, 4-1C „ 424701 5133 r31b ic.tE:P4 _ <br /> Zoning District change: (To/ From /#of acres) 1-1-1-3 7 1?K,Z /�Cri V-A=2- TLN= -so A4(t, <br /> Soil classifications of area (percentages) Class I soils: 4 b °° Class II soils: °. Other: II S % <br /> R <br /> e,C w s�,� L .,, / 671Qp2 Pea <br /> II <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> 0 Separation of buildings from farmland <br /> Creation of a residential lot <br /> ti <br /> 0 Compliance for existing structures and/or land uses <br /> 0 Other: <br /> it <br /> it <br /> ii <br /> authorize that I am the ner or hay a fission to act on behalf of the owner of the t <br /> b� .....�.� _ Date: � <br /> r', the property. I <br /> Submitted By: A <br />