Laserfiche WebLink
TOWN OF MAZOMANIE <br /> NOTICE OF INTENT TO REQUEST A ZONING CHANGE <br /> NAME <br /> ADDRESS: 5.a / giver vie iv. Pr,. - <br /> PHONE: jez2Y-__2a17.2.3 4110-' <br /> 1 . PURPOSE: re) S•e /( s 0 77 s <br /> 7ff euic a2.0611b, <br /> — / areSS <br /> 2. LEGAL DESCRIPTION OF PARCEL IN QUESTION: 56e g*ctehe4 <br /> 3. ATTACH MAP OR SKETCH OF PARCEL SHOWING: <br /> (A) ROAD CUTS • <br /> (0) DIMENSION OF LAND (INCLUDING PROPOSED DIVISION IF <br /> APPLICABLE) <br /> (C) LOCATION OF STRUCTURES <br /> NOTE: A PROFESSIONAL, SCALE DRAWING NOT NECESSARY <br /> 4. TYPE OF ACTION REQUESTED, I .E..IZONING REQUEST, OTHER:Aro/0mb/ <br /> saff 100 alLris cu -2 et xcij ciAA BC) 0/41'ArVeii <br /> 5. MISCELLANEOUS INFORMATION: et 20 4_4 re oth Lc, sAal ttA <br /> etcre Ati^1 1, •4.#;tes.-vvg.' <br /> I (WE) AGREE TO PROCEED IN ACCORDANCE WITH THE TOWN'S ORDINANCES <br /> AND PLANS. • <br /> DATE: 2 . <br /> 74 <br /> DATE: FILED: 8-21t-1.) <br /> TOW ' CLERK <br /> PLAN COMMITTEE ACTION: __ . DATE: <br /> BOARD ACTION: DATE: <br /> MANUAL RECEIVED: MANUAL RETURNED: <br /> A refundable deposit of $4. 00 is required for land use plan <br /> manual . <br /> revised 9/09 <br />