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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> 3r fir} 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> . Zoning Change Application 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 (c c)-I0Ica K�A ,l) Agent's Name <br /> LALAtbNa,mac. I VOcAG)LE TQ,Asr• btib2E441 o-rr S�.t�Ft�/f�tt.►GJ tNL. <br /> P o. box 23 <br /> Address St(0 SLEepy e}vt,LoLJ ua. 1.4A-.2s4..}AL y 1 Address tb-.41 14,i tztsrvA..sr.iS■ tit P12AlI21E) j 1 <br /> Phone (10°S)S-13- 3(001 Phone (hoe) v�_ 94- g <br /> Email Email <br /> ‘111--5.+Pc_1AA,i-.r,tne.4- 5S eb;vre..t4-4s-,„A,rve j.41, cowl <br /> Town. 1-1t:p OA Parcel numbers affected: <br /> oe►zt4z9,4o/, ooIZi5¢e4o <br /> S604 tax ai -, .n IZt�. o8tz1 -38s�10 <br /> Section:„CPI-- \4- Property address or location: -rev 1,A5,01,44 08 rZ t 4-3 cio 3c20 <br /> Zoning District change: (To/From/#of acres) 1P 1 GCLV f\P (5 A c t2:S S) <br /> -Fp 162-a �5 CS �tcaa.e s� J <br /> Soil classifications of area (percentages) Class I soils: % Class II soils:4(..Z% Other:15•1 <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 /> f'A V £T% CIte rg-oi 1 S Acts) Z PJF 5o L17 • VE.2.6,,,IC t ►4vL( �►°3s TD f I <br /> L/krbl) (A, 140-0-A , Ac,2E•S)--n) Sou, Tb ►a�� $ca2ini6 eAoPLas•-1 arJti\I Z 9..EzoLlca <br /> Fit° -E 3 S T b 24- <br /> Re)-1,1n- f-7.4. uki.L7 OM't?2o 1. 7 i1a2E-s) -Ia so 1.,1) "45 is g CAM o►.16 <br /> t=�35 9v►J.t.1( <br /> I authorize that I . e owner or have permission to act on behal of the owner of the property. E-15-/ /Z <br /> Submitted By „, ( , J �y) , ('v 2 Date: 7 <br />