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f <br /> TOWN OF BLACK EARTH <br /> NOTICE OF INTENT TO REQUEST A ZONING CHANGE <br /> NAME: l g e l� SM11-.1 0A. e�f <br /> ADDRESS: /0 7 ��m-i72 , S f <br /> PHONE: 775 9y <br /> 1.PURPOSE: <br /> 2 .LEGAL DESCRIPTION OF PARCEL IN REVIEW: A /9444) 0F i <br /> IL I - 11> S ec: 2 ? ) T w r> NoR RA-sv y C <br /> gi4 I � 0 N 0 1-t1 <br /> 3 .ATTACH A SKETCH OF PARCEL SHOWING: <br /> A. ROAD LAYOUT <br /> B. DIMENSIONS OF LAND (INCLUDE PROPOSED DIVISION IF APPLICABLE) <br /> C. LOCATION OF DWELLING, OUT BUILDINGS OR ADDITIONS <br /> 4 .MISCELLANEOUS INFORMATION: <br /> I (we) agree to proceed in accordance with the town's ordinances and <br /> plans. <br /> DATE: Cf 2/ SIGNED: <br /> Xiter <br /> DATE FILED: TOWN CLERK: <br /> PLANNING COMMITTEE ACTION: DATE: <br /> BOARD ACTION: DATE: <br /> APPLICATION FEES RECEIVED: CULVERT/ REZONING/ <br /> ROAD CONDITIONAL <br /> ACCESS USE <br /> 5PG-BE92 . 01(3/92) <br />