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DANE COUNTY Zoning Division <br /> PLANNING` ' DEVELOPMENT Room 116, City-County Building <br /> ;'moo `''„, ', 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> 4 . - Zoning Change Application Phone: (608) 266-4266 <br /> - ., -1 Fax: (608) 267-1540 <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 /> 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 e g �OE11---e” Agent's Name 1:773,,,c p F <br /> Qt_5' P <br /> Address 3 e \1.Ehl&au L-4M0 Address .306) (....) Q J,.t1.ie -y <br /> Phone Da Fi g Li/ De- Fi�o, w i <br /> Phone <br /> Email col i- & t1 Email 7�y-S5 <br /> Town -fit - I —1' Parcel numbers affected: °712.0"/W. 3 5-01–0/ 0'7j2-‘)vy.° -emu/•-,D <br /> 07&2-v4Y-$4,S?"vi o-12_v'IV-G407o-CO/ o7 (z 0414/9/40—0, o7i2-ow.9/3y,c <br /> Section: 01 Property address or location: <br /> Zoning District change: (To/ From /#of acres) iid-Z -k) +l'.3 A-I. - PO 3 <br /> Soil classifications of area (percentages) Class I soils: % Class II soils: % Other:<- ' <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 /> O Other: <br /> A cicI c, vGl-i-at-cal I a^44 c°y.i S Al 14,-I-5 <br /> I authorize that I am the ow - or':y- :- issio to act on behalf of the owner of the property. J l <br /> Submitted By: Date: ,`l j4,1zI9 <br /> — _ <br />