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TOWN OF BLACK EARTH <br /> NOTICE OF INTENT TO REQUEST A ZONING CHANGE <br /> NAME: Sondra J <br /> ADDRESS: L lO ± Z�• <br /> \ NIRztrnC 1,l L , L )13" O <br /> PHONE: I`'15 -3/00n <br /> l.PURPOSE: t St WO .t-" ,e ■ I 11 <br /> ymcne -:6. -irZ 'cPr ni- hemL, _ <br /> 2 .LEGAL DESCRIPTION OF PARCEL IN REVIEW: <br /> aL CA-Vrche 3h -A--. <br /> 3 .ATTACH A SKETCH OF PARCEL SHOWING:dried-- <br /> p <br /> A. ROAD LAYOUT APP_ ��� `_�r ed-- <br /> B. DIMENSIONS OF LAND (INCLUDE PROPOSED DIVISION IF APPLICABLE) <br /> C. LOCATION OF DWELLING, OUT BUILDINGS OR ADDITIONS . Ck..- ,CtIed <br /> 4 .MISCELLANEOUS INFORMATION: re (,I + -rfir Lcn� Ara{ <br /> 1.)i- '1 ('c i-1'1 cnrk` t i _ r-ri\G I f0- I 4 m i-n t <br /> r 4 <br /> bu 't n Cor •tib�,�c .t reel <br /> I (we) agree to proceed in accordance with the/town' s ordinances and <br /> plans . DATE: fr l Y� I`'1(�rsi SIGNED: 44 1 4J (1 , Ak <br /> . cindra Li L . -2 <br /> DATE FILED: TOWN CLERK: <br /> PLANNING COMMITTEE ACTION: DATE: <br /> BOARD ACTION: DATE: <br /> APPLICATION FEES RECEIVED: CULVERT/ REZONING/ 9` Tc1 <br /> Z'Q <br /> ROAD CONDITIONAL /)1 <br /> ACCESS USE / <br /> 5PG-BE92 . 01 (3/92) <br />