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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> 0 Madison,Wisconsin 53703-3342 <br /> t Zonin 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 /> 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 sc-014. 4rtd- a ,Orac iC/ Agent's Name <br /> Address ��0 37 /'7.4cE 1& Address <br /> Phone a or- CO`/ 3- (O d-7 q Phone <br /> 400W- 9403-L-1/ S-6 r cIl <br /> Email nGk/-frktiy 0w - <br /> �� bitte , /C Email <br /> Town.AX butt) Parcel numbers affected: l�Cjd / Ste.1-/ 300 09o-7 /Sa>O7OS" <br /> Section: 01 Property address or location: 86 3? 11 sick I <br /> Zoning District change: (To/From/#of acres) 4-1 .eX 'f0 ' 'm2 0, Y r <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 /> ® Separation of buildings from farmland <br /> • Creation of a residential lot <br /> ® Compliance for existing structures and/or land uses <br /> O Other: / f <br /> /4-ce. `�•v✓1 /41- . 4 6 U" r zt‘;41 c Ac e <br /> I authorize that I am the own r or have permission to�ct on behalf of the owner of the property. riF <br /> Submitted By: /i�*-� Date: 1�— 7 (!/ <br />