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DANE COUNTY Zoning Division <br /> PLANNIN <br /> .. Change DEVELOPMENT <br /> Room 116, City-County <br /> Building <br /> /-: : , 210 Martin Luther King Jr. Blvd. <br /> Madison,Wisconsin 53703-3342 <br /> ,:'.:1------,. ', <br /> fZo n i n A pp l i cati o n Phone: (608) 266-4266 <br /> !'0- <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 /> 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 NORTH AMERICAN GROUP OF COMPANIES INC Agent's Name BIRRENKOTT SURVEYING INC. <br /> Address 5787 AUBURN DR Address 1677 N. BRISTOL ST. SUN PRAIRIE, <br /> MADISON WI 53711 WIS. 53590 <br /> Phone y Phone IP ft a; \ 4 1< i (608)837-7463 <br /> Email Email akasper @birrenkottsurveying.com <br /> Town. Cottage Grove Parcel numbers affected: 018/0711-213-9720-7 <br /> Section: 21 Property address or location:3695 COUNTY HIGHWAY N <br /> Zoning District change: (To/From/#of acres)R-2/A-'aCBV/11.41 <br /> Soil classifications of area(percentages) Class I soils: % Class II soils: 70 % Other: 30 <br /> Narrative: (reason for change, intended land use, size of farm,time schedule) <br /> © Separation of buildings from farmland <br /> O Creation of a residential lot <br /> ® Compliance for existing structures and/or land uses <br /> © Other. <br /> To create 16 single family lots. <br /> 1 <br /> I authorize that I am the • er or h ve permission to act on behalf of the owner of the property. <br /> Submitted By: / Date: y ft 76 <br /> �t.d� -//i- ...r gyp+"} <br /> • <br /> IL <br />