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• <br /> DANE COUNTY <br /> Zoning Division <br /> - „,,. ;LOP E Room 116, City-County Building , <br /> o;`.� ata 1" 210 Martin Luther King Jr. Blvd. <br /> U' _ . Madison, Wisconsin 53703-3342 <br /> 147=7 rA ia�a Phone: 608 Zoning Change Application ( ) 266-4266 <br /> Fax: (608) 267-1540 <br /> i <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 i' <br /> o Scaled Drawing of the location of the proposed Zoning Boundaries <br /> II <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 /> N1 cG1�s(Z Q, �at' v►15 /�g Sc�* �+ fl,-_s-_e i s �� <br /> Address 3 l.t co L-0'n O v1. Q o�- . Dt. -ei` '-€Jhddress 1V(el r, 7 63opet- i e( rf La p -2 <br /> Phone r CO+f 008 yyy- bat s+eJe � gy5_ (�31 64-1.<4 mi l(S s 5 3 <br /> 55 l <br /> Ph one ��o asS - <br /> 7h/-(e? <br /> Email Email C 0 <br /> Town' CC DUrkrd. Parcel numbers affected: . �J'.ft- <br /> 011, - - FQ 6i - q00/ — 0 <br /> 3( <br /> Section: 01 jp Property address or location: E , 4 (-D vl 01A. <br /> Zoning District change: (To/From/#of acres) ?ti -1 r`o vy, A-1- ex,, <br /> Soil classifications of area(percentages) _ Class soils: % Class II soils: % Other._ % <br /> _se e___ S //eA , <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 /> 4 Compliance for existing structures and/or land uses <br /> O Other. <br /> WC e1 -e COwdoi t acf.c(.i4►ny4 letktC 4-0 0u✓' ekiik e . <br /> ce Sa A, i- ∎a.l Qft A-1 - GAedt:tia .( i00ck i5 2©Pl.ed f��iri e 14- 1E,A.-1 ' <br /> . <br /> . <br /> • <br /> . <br /> I authorize that I am thepwner or have permission to act on behalf of the owner of the property. / 3 0 l 7 <br /> Submitted By: Date: <br /> 1 <br />