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DANE COUNTY Zoning Division P LA N N 1 N G D E V E LO P M ENT Room 116, City-County Building <br /> , �' ��� <br /> 210 Martin Luther King Jr. Blvd. <br /> "' ;` Madison, Wisconsin 53703-3342 <br /> t7 Zonin Chan e Application Phone: (608) 266-4266 <br /> g g p p 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 Cliff and Gary Barbian Agent's Name Williamson Surveying LLC <br /> Address 8410 County Highway Y Address 104 A West Main Street <br /> Sauk City, WI 53583 Waunakee, WI 53597 <br /> Phone Phone <br /> (608)592-4756 (608)255-5705 <br /> Email Email noa @williamsonsurveying.com <br /> Town. Roxbury Parcel numbers affected: 0907-113-9000-4 and 0907-113-8500-1 <br /> Section: 11 Property address or location:8410 County Highway Y <br /> Zoning District change: (To/From/#of acres) A-1 ex to A-2 <br /> Soil classifications of area(percentages) Class I soils: Q % Class II soils: QS•9 % Other:77•/ % <br /> Narrative: (reason for change, intended land use, size of farm, time schedule) <br /> 0 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 /> See ,4'-/--k. 4&c,( <br /> I authorize that I am t - own permis to .ct on behalf of the owner of the property. <br /> Submitted By: Date: )) <br /> '� d o f <br />