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DANE COUNTY Zoning Division <br /> Ay3 ? PLANNING DEVELOPMENT Room 116, City-County Building <br /> 'Val 210 Martin Luther King Jr. Blvd. <br /> ;".41 Madison,Wisconsin 53703-3342 <br /> Zr Zoning Change Application Phone: (608) 266-4266 <br /> Fax: (608) 267-1540 <br /> Items that must be submitted with your application: <br /> Vo 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 /> Vo 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 AN ' Ew E . A N o kSpaJ Agent's Name Ja <br /> Address 3757 IZ`1AN ReAD 12S t.) MOVNf Address <br /> Phone GO8 -76-7 -395 3 Phone <br /> G v 1 c L y %c. p la u A� C icA 0 0. C c %\ <br /> Email Email <br /> Town. V E5 tM O Al Parcel numbers affected: 0-106 — I q. 3 - .30440 - <br /> Section: 01 I Property address or location: S k o Ili Qv kOck,C� <br /> Zoning District change: (To/From/#of acres) TO A-a (g) F R e►M A - 1 (E K' 11 ,301/4 <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: % Other:I 649 % <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> O Separation of buildings from farmland <br /> D Creation of a residential lot <br /> © Compliance for existing structures and/or land uses <br /> • Other: <br /> bk «b%1QC A rloosE <br /> I authorize that lam the o er ha permissio o act n b half o the owner of the property. c <br /> Submitted B Date: 11 tip D I 7 <br />