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DANE CouN1 Y .,. Zoning Division 1 <br /> � '`5 I ENT Room 116, City-County Building <br /> a <br /> a1 210 210 Martin Luther King Jr. Blvd. <br /> .a4 <br /> Madison, Wisconsin 53703-3342 <br /> i • 1, "2 Phone: (608 266-4266 <br /> S <br /> Zoning Change Application > I <br /> Fax: (608) 267-1540 <br /> Items that must be submitted with your application: Ij <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, 1 <br /> Certified Survey Map, or an exact metes and bounds description. A separate legal description is I <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 /> buildings shall be shown on the drawing. The drawing shall include the area in acres or square feet. <br /> Owner's Name Ni( O�er2 ; 0 j 12 Agent's Name <br /> / 11� �m-f n <br /> Address % i 1 5 /I . ,Ic',A►LA) Address <br /> Phone , Phone <br /> (008 77 0 ol., <br /> Email 1)-rr J G e CDC QI)ao). Corn Email <br /> Town. VU I)ici Parcel numbers affected: 6S-1( '" O U - 9 1 o 5-0 <br /> Section: 01 Property address or location: j a q (,J5' 1 <br /> kw 5/ -z.,v i-k2y) 1 <br /> Zoning District change: (To/From/#of acres) e - G <br /> 9 9 ( <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: % Other._ % <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> 0 Separation of buildings 9 s from farmland <br /> 4 Creation of a residential lot <br /> i Compliance for existing structures and/or land uses <br /> 8 Other: <br /> 5 a- 2C/eti 4 r fir; <br /> i <br /> . e of the property. <br /> I authorize that I am the o .or ale pe ':sion t n beh f of the o � � /� <br /> Submitted By: i Date: <br />