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it _ _ 'I <br /> • DANE rE GouNT Zoning Division jlI <br /> - ',>: EVELOP E Room 116, City County Building <br /> ..��� . 210 Martin Luther King Jr. Blvd. I <br /> o'� �K V-_ Madison, Wisconsin 53703-3342 <br /> !�P_�7r;.r'1 zoning Change Application Phone: (608) 266-4266 <br /> 1971 <br /> eOxs Fax: (608) 267-1540 <br /> II <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 /> 1 Certified Survey Map, or an exact metes and bounds description. A separate legal description is <br /> I 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 '�U, �,�_��� Agent's Name <br /> Addfess O eY(..A b O33 11"(,L�(eL^c V`lk S bL <br /> SAddress I• <br /> Phone (0U`--SN 3.. �� O� Phone <br /> I pD-\l r3-oc�cAist£.c.tm <br /> Email' A \Cf5 i�G .nC.�C��� - t wn Email <br /> Town. �A ` n Parcel numbers affected: (920/020 ,�`.s D— 3 <br /> Z/2- `,p <br /> Section:--W- 2 ,> Property address or location: 3 2 I/_$ c_77/ / <br /> From #of acres) )3 ` , '--6 A - 2- r ,, L ,,, ( it_k V c <br /> Zoning District change: (To/Fr m/ ) ) �j <br /> . <br /> Soil classifications of area(percentages) . Class I soils: % Class I I soils: (60 % Other._ <br /> Po6 <br /> Narrative:-(reason-for-change,-intended-land-use,-size-of-farm,-time-schedule) <br /> 0 Separation of buildings from farmland <br /> 8 Creation of a residential lot . <br /> 0 Compliance for existing structures and/or land uses <br /> Di( ` ' ' 25 / X c c 69(0P 11 - 21)Other.��t) � O � �® � � � <br /> I <br /> • • <br /> • <br /> 1 <br /> I authorize that I am the owner or ave •err i ssio to act on behalf of the owner of the property. Z I -L // „ <br /> Submitted By: . /jf pat `� <br /> it <br />