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• DANE COUNTY Zoning Division <br /> --,- LAN NI N t D EVE LO p ENT Room 116, City-County Building <br /> a j`° '"' 210 Martin Luther King Jr. Blvd. <br /> • <br /> -i' :=,=.2!•;a. Madison,Wisconsin 53703-3342 <br /> «-- Zoning Change Application Phone: (608) 266-4266 <br /> s ris ` Fax: (608) 267-1540 <br /> Items that must be submitted with your application: <br /> o Written Legal Description of theproposed 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 j-61.)N ID e S Ns)eP} L,. cc7 ,rtgent's Name <br /> Address 10 c(A I-4 (4 14 Address <br /> Phone 63 og QS's- 1 e' i (''' Phone <br /> Email 3-e . q &C.4-O L . O i'4■. Email <br /> Town-1�LI 1-2-A N b Parcel numbers affected: 0 5 I v n 12 Pc4:Ch -Q <br /> Section: 01 '7 Property address or location: la 5-6 1-! y / 4 <br /> Zoning District change: (To/From/#of acres) I. to - /62/20/7') k N - l ) a,3 Gt.0 red S <br /> Soil classifications of area (percentages) . Cla I soils: % Class II soils: % Other. % . <br /> Cie CL' k 1 ,I`' <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> O Separation of buildings from farmland <br /> O Creation of a residential lot • <br /> O Compliance for existing structures and/or land uses <br /> e Other: <br /> WOVZK (r StelE- I✓u fie-6 NT S-r-oteA 6F /SulLbiNc <br /> e a,r ,) LES .IN6.zb� S-roteA4c &u< <-bq <br /> -f 6et- Onhfir 2,10 6 . ' <br /> I authorize that I am the owner or hive ermisslo to ad on behal of the owner of the property. <br /> Submitted B *? Date: /..641,20d- <br /> 1 <br />