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DANE C O U NT Y Zoning Division <br /> jr°1-5-7— C/0 40 <br /> PLANNING DEVELOPMENT Room 116, City-County Building ' <br /> •: .. j'` 210 Martin Luther King Jr. Blvd. <br /> Madison,Wisconsin 53703-3342 <br /> ``` <br /> ,. Zoning Change Application�,,�_,g3� Zi ti <br /> ; f' 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 Dakota Gray Agent's Name Combs&Associates, Inc <br /> Address 724 Washington Rd. Edgerton, WI Address 109 W. Milwaukee Street, Janesville, <br /> 53534 WI 53546 <br /> Phone Phone <br /> (608)247-1041 (608)752-0575 <br /> Email c.gray2012 @yahoo.com Email rjcombs @combssurvey.com <br /> Town. Albion Parcel numbers affected: 002/0512-192-9110-3 <br /> Section: 19 Property address or location:724 Washington Rd, Edgerton,WI 53534 <br /> Zoning District change: (To/ From /#of acres) S F R O S - a.72 4c_ 1 P 1S- $.G S R - k 9,3rA <br /> p5{a- tgc2 900zG, <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 /> 0 Separation of buildings from farmland <br /> © Creation of a residential lot <br /> © Compliance for existing structures and/or land uses <br /> 0 Other: <br /> I authorize that I am the owner or have per fission to act on ehalf of the owner of the property. <br /> Submitted By: Date: G // 4,Zo <br /> II <br />