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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> v s 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> Zoning Change Application Phone: (608) 266-4266 <br /> $rf Fax: (608) 267-1540 <br /> — <br /> Items that must be submitted with your application: <br /> /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 /> /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 A4ex &laWe/4-- Agent's Name ,?N , ,.. <br /> Address 9 //s' < 't7 , e Address 7j-3,0� ,.//4://7'G /li07 <br /> Phone / lU/ -S. Sp.3 Phone /i Sie2/-5-0e// L("/ X 7/7 <br /> 8'$4c 64%3 c r) ,j.3 <br /> Email /►,q�,/ Email /�� <br /> �/f/a7/VQ. ec <br /> Town: Parcel numbers affected: D 7d6 Z Rao?. rc <br /> oection: 01 Property address or location: 98e, G,e4- /.i�� ,&L <br /> Zoning District change: (To/From/#of acres) / R5 1 / ,,�2DAf -/-X( ,3 r5lc 6.. z v ' <br /> . %D /2/7 -/ .44>c- • jgha 15"_ <br /> Soil classifications of area(percentages) Class I soils: % Class II soils: _a_% Other: % <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> O Separation of buildings from farmland <br /> Creation of a residential lot <br /> O Compliance for existing structures and/or land uses <br /> Other: <br /> /9i4.X ,cs ,4,?o�ss�-66 is C / Z '/ 3 Loi d - <br /> r -- a/i 40E / 4 -22 7 14W--/ <br /> /l/ ff L P/7Gf/ /6 - a'ae, / G/_ /P- -• 7-4e/ -- Z ' <br /> a// /rat/ i11,1i(Mr. 77 -j--,•.7e-"3" 7e , tI/e..,G7 <br /> /s 4 f/A/ 7�GI.sG 9i !e//J 71.4 , -/. <br /> I authorize that I am the owner or •. ' r to act on behalf of the owner of the property. <br /> Submitted By: Date:_ /e--7-40-/‘, <br />