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DANE COUNTY Zoning Division <br /> ;4-4 PLANNING DEVELOPMENT Room 116, City-County Building <br /> 4' 1 \ 210 Martin Luther King Jr. Blvd. <br /> tli Madison, Wisconsin 53703-3342 <br /> 703-3342 <br /> t fi," V Zoning Change Application Phone: (608) 266-4266 <br /> . "+- <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 a n a /11 4 . 6,9f h <br /> r7 /e Agent's Name <br /> Address US"5 /",/6y Aid, lirJ/crGJ 53y7,fAddress <br /> Phone Gob - ksa- `o /3 Phone <br /> Email Email <br /> Town. 0r/lsi foie Parcel numbers affected: C'e rt/4 led s✓r/ey /Na P 44/ -1) <br /> Section: 01 it address or location: cr Y1 eo/b y go a d VQ r cf81:3(7,2 167(IQ-t <br /> Zoning District change: (To/From/#of acres) to /Qn1P, 1 4 . A/i, i .c <br /> /9f-/ ----� 2 111%lll+ I <br /> Soil classifications of area(percentages),. Class I s ils: % ss II soils: % Other_ %. �1 <br /> Narrative: (reason for change, intended land use, size of farm,time schedule) <br /> 0/Separation of buildings from farmland <br /> Or Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> O Other: <br /> Pa&e.,/ /s 54A-red Ay ,ar,-, / /s a car?A, Kr--rd L o/ <br /> T2 st 66;07- DY2-(5).6"9©- 7 <br /> A,.51 /fr7 -Far a t-e y o4 e is c-4._:- a r 41/0 aH y yii e5-17d' s d Y7r_ui <br /> LOw ifEr mad h ve, <br /> I authorize that I am th,ner or have permission to act on behalf of the owner of the property. <br /> Submitted By: Q, 11;) Date: ��-�� �`� <br />