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Zoning Division DEVELOPMENT <br /> Room 116,City-County Building <br /> : iramiAt ., 210 Martin Luther King Jr. Blvd. <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� I ,V1( J4 E S.. pc.4 0_0 L,614 Agent's Name AND RE„v A/100i tk <br /> Address 5221 Cy Pc.gcC Address 29/$ 414.04461- P& E P/2 sUir+g/dt <br /> Phone v'e.,,"D`a^l c) H 1 L-t.S CA 4136 4 Phone c/7- I1 6w1-6 Ail C57/9 <br /> SI$ - 391 - o a39 6o 2? -28g- /86d <br /> Email Email <br /> Dcs�{tr vC.H EL @ �}oi-'corn AMooe.EGd,i/e,02ESvgzc,'Ey'/ni6 Lcc-Cant <br /> Town. D G°".1 Parcel numbers affected: 012/05.0 9 - /o 3 - 93/1 9 <br /> Section: 111 10-5 - Property address or location: c.500 L►A/co 1,A1 grA <br /> Zoning District change:(To/From/#of acres) 14 Z (8) T o A-2.C2' <br /> Soil classifications of area(percentages) Class I soils: % Class II soils: % Other.40% <br /> /011 % A4441-/Y7 r S/LT L04A <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 /> O Compliance for existing structures and/or land uses <br /> O Other. <br /> I authorize that I am the owner or have permission to ad on behalf owner of the property. <br /> Submitted By: �� Date: /e`Z2/20/ <br /> �/vor tv /VIaG/ <br />