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DANE COUNTY Zoning Division <br /> 1.r , ,} PLANNING DEVELOPMENT Room116, City-County Building <br /> r` 210 Martin Luther King Jr. Blvd. <br /> Madison,Wisconsin 53703-3342 <br /> Zoning Change Application Phone: (608) 266-4266 <br /> calk 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 /> ru U�,0,- R613F.e,... <br /> Owner's Name 4.J� ; Es Agent's Name f`. t i �, .r , Ac <br /> Address -7 'l !%ox t= / t=c- Q ►e'�A-ti Address <br /> Phone 0 4 �'c,r< �' , i'"1 .f3 S7< Phone <br /> (60e) zc' e -- 2Tti4 <br /> Email Email <br /> 5 bra be...d..n ' chart-eo •Nei' <br /> ................ <br /> Town. Yo IZ✓, Parcel numbers affected: 0q/ . - i S6i —`''I 5 Co - <br /> 7 l 6 el-) KS bi-R L L 2 ,4d <br /> Section: 01 Property address or loc h G O L., v .►, d u S' tti t S3 g i s— <br /> Zoning District change: (To/From/#of acres) ` /-ti'X o } � �; <br /> Soil classifications of area(percentages) Class I soils: % Class II soils:-O % Other:V% <br /> Narrative: (reason for change, intended land use, size of farm,time schedule) <br /> Separation of buildings from farmland <br /> 0 Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> 0 Other: <br /> JtJ MAC n c-, 4.O S, L.p-,4--- Q, a eSC r,'30 kJ C,,-> <br /> . _ _ <br /> I authorize that I am the owner eve perms-,.•. . act on behalf of the owner of the property. �, 2. J 7.--0 Submitted By: Date: 1 <br />