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DANE COUNTY Zoning Division DEVELOPMENT L Room 116, City-County Building <br /> „i, <br /> 210 Martin Luther King Jr. Blvd. <br /> if <br /> `-° Madison,Wisconsin 53703-3342 <br /> ,: ; Zoning 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 THOMAS AND MARY NORDLAND Agent's Name MICHAEL D. RUMPF <br /> Address 2022 KOSHKONONG ROAD. Address P.O. BOX 1, CAMBRIDGE, WI 53523 <br /> COTTAGE GROVE, WI 53527 <br /> Phone Phone <br /> (608)873-0708 (608)423-3254 <br /> Email TJNSRM @YAHOO.COM Email MRUMPF @RUMPFLAW.COM <br /> Town: Pleasant Springs Parcel numbers affected: 061114285003 AND 06111393302 <br /> Section: 01 Property address or location:2022 KOSHKONONG ROAD, COTTAGE GROVE,WI 53527 <br /> Zoning District change: (To/From/#of acres)AG-1 TO RH-3 9.6 ACRES ki <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 /> O Separation of buildings from farmland <br /> © Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> O Other: <br /> CREATE LOT 1, CERTIFIED SURVEY MAP FOR EXISTING RESIDENCE <br /> I authorize that I am the • -on to act on behalf of the owner of the property. /7/ ,-/Z-- 1&' <br /> Submitted By: // /'/ Date: <br />