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DA.NE Cou Ty =, Zoning Division <br /> ' ' -- E. ELOPME T Room 116, City-County Building <br /> tea, -1 :=..- <br /> t°° � �a - 210 Martin Luther King Jr. Blvd. <br /> �` r ' Madison, Wisconsin 53703-3342' _ r -.. Zoning Change Application : ( ) <br /> �91i <br /> sca 5:. �� Phone 608 266 4266 <br /> Fax: (608) 267-1540 <br /> Items that must be submitted with your application: <br /> • <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 Agent's Name <br /> JT <br /> /lc L f7C.1iA(k-- <br /> Address cN, A !7 A,e,t , T i\A ,r3010 <br /> p� Address <br /> Phone LEO al 3 (11.1 7 Phone <br /> Email 1" Email <br /> c\`,rr r_-► 4.17n o�.l 6 n/-r ) ,r� �j <br /> Town. Me-1 i S o b- Parcel numbers affected: Cf 2 C 7 3-S/� — /0C <br /> Section: 3 ) Property address or location: <br /> Zoning District change: (To/From/#of acres) /P_ y/x --3/©, Si- 2_ /� <br /> Tc�wv. ICe co +—,p) <br /> Soil classifications of area(percen ges) - Class I soils: % Class I I soils: �3 % Other.6c <br /> Li l Z- c . <br /> . <br /> —Narrative:(reason-for-change,-intended-land-use,-size-of-farm,-time-schedule) <br /> ® Separation of buildings from farmland <br /> • <br /> 0 Creation of a residential lot <br /> 0 Compliance for existing structures and/or land uses Aajcs <br /> ,, , ,, f O Other. k._e- ,,--1 . a,- Z D Ve._ y-0 r 4 y c__ i . <br /> I authorize that I am the owner or have p ission to act on behalf of the owner of the property. �7 <br /> Submitted By: '74J I Date: (,�o� `(>20 - 0 <br /> 1 - <br />