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DANE COUNTY Zoning Division <br /> L. ,.z: 1 Room 116, City-County Building <br /> ',� -tea' 1:�.: :.. <br /> , Q � 210 Martin Luther King Jr. Blvd. <br /> `� ` � Madison,Wisconsin 53703-3342 <br /> • <br /> to <br /> h, ��kt <br /> s Q Zoning Change Application Phone: (608) 266-4266 <br /> - i� 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 <br /> 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 EhtiLl S e-iT-1 Agent's Name ff L AVA-Sih-te JL. <br /> IS C3 ► . 'v Y .., ac Address 13 4- 5- S?--( w& S,� <br /> Address _ �� � hoc.v � �U.� <br /> Phone OBI ZO) 2. 4, -- "t I %Li Phone 1� ✓tip+--�-vt4 ,(A/1 S- 3911,, <br /> 2e1 et)F S -390 `J <br /> Email NC1LF Email <br /> • <br /> c9- <br /> Town. y 0 e IL Parcel numbers affected: 1( I <br /> n r <br /> Section:7 1 1 Property address or location: 759c 5 n- %9 Ca'-`'.vi iS, k%I <br /> Zoning District change: (To/From/#of acres) A _ I �k 0 L.0 S ' t.. 4- -4-1..) 17 2 ( ¢) <br /> `a c_ - A- ,1 °o c <br /> Soil classifications of area (percentages) _ Class I soils: % Class II soils: % Other._ % <br /> • <br /> Narrative:-(reason-for-change,-intended-land-use size-of-farm,-time-schedule)-- <br /> Separation of buildings from farmland . <br /> 0 Creation of a residential lot <br /> 0 Compliance for existing structures and/or land uses <br /> ® Other <br /> a W n-e v- Sa--Q o .1-4o J�e o v - 4- • cs 14c-C-a-e:- . <br /> -D(D ---. N IS + D -� ; ,31q ii-e) e✓/ E. q,ll. 2 <br /> I� -rf -7 0c,, hit- -4 v. lci-Ls <br /> • <br /> 1 <br /> I authorize that I am a owner or have pe ission to act on behalf of the owner of the property. i' , l� / <br /> Submitted By: Date: <br /> ! � <br /> YI/ (te - <br />