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DANE COUNTY :- Zoning Division <br /> PLANNIN Room 116, City-County Building <br /> c°g;� �F \ 210 Martin Luther King Jr. Blvd. <br /> i Madison, Wisconsin 53703-3342 y <br /> Efl <br /> 1 sr-`��t -ry° Zoning Change Application i C ati o n Phone: (608) 266-4266 <br /> iv�a I <br /> • -sco ; <br /> Fax: (608) 267-1540 <br /> 1 <br /> Items that must be submitted with your application: I <br /> o Written Legal Description of the proposed Zoning Boundaries I <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 /> I 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 /> l Owner's Name' �r ���� f �� Agent's Name ` i �� �� I 1 <br /> ,r� 5 � - <br /> Address i AB� i/ K ress <br /> �— 0- , -35� low Go?�' �a� <br /> Phone Phone <br /> i Email Email <br /> ` ill <br /> Town- _ �� Parcel numbers affected: 0 Jr 1 i _- d,01 ,- i 0d) 1 0 <br /> 0 1 4- <br /> Section: ( Property address or location: i _ ,, Cv N s)• <br /> Zoning District change: (To/From/#of acres) I — ( • . II I -s `�'I' <br /> oC Q — / ° -I '' V 73 <br /> Soil classifications of area (percentages) ass I soils: 1 CI ss I I scils: % Other._ % <br /> e <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> Separation of buildings from farmland <br /> Creation of a residential lot <br /> 4 Compliance for existing structures and/or land uses <br /> 8 Other: <br /> Ta Pay - <br /> 2_/D ���D .. /(>7 _2 ,L--.. >--,7;-2y <br /> ' j / <br /> r i Lam ► -t/s ■ .■ <br /> ' Y 'ii ...wr - i. <br /> I authorize that I am the er or have permission to ad on behalf of the owner of the property. > /� <br /> Submitted By: i�y�s � Date: / j <br />