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<br /> ■ - t "NOTICE OF INTENT" TO SUBDIVIDE _ -. , ;
<br /> REQUEST A ZONING CHANGE, AND/OR BUILD A STRUCTURE
<br /> $. TOWN OF VIENNA `
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<br /> Name: a.H' ,C�/i A/N d ev 5 • /'/////P/`'
<br /> Address: 9' 7 7 4-ca,.i Rd Telephone: (d4 8'4' -f`315
<br /> 1. Purpose:
<br /> C r.t.�7� I/4/li/N .ate i-e-
<br /> 2. Legal description of parcel in question:
<br /> 3. Attach map or sketch or parcel (professional, scale drawing not necessary).
<br /> Please show:
<br /> .(a). Road cuts '
<br /> (b) Dimension of land (including proposed division,, if applicable)
<br /> v • _ (c) Location''of structures, p� .
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<br /> 4. Type of action requested: ' • �_ , 3# .
<br /> ._••, Ii Land division (','.4fie?/ ':0Z 6 0,7— GS,V,s . 'A$6 `. 69
<br /> LI Zoning request ''' r '
<br /> f£
<br /> 4 Q Building permit •
<br /> o Other
<br /> '4'4.., 5. Pay fee.' if 'applicable {$ r;- °. • y �S,141
<br /> 1 i } (amount) *` &'- -.'-, x',°r�` #rry F '-
<br /> .. 6. . Miscellaneous information: x ,�
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<br /> ` : ' y < I (we) hereby acknowledge receipt of a copy of`'the Land Division'nnd Sub-
<br /> t.t -.,` division Regulations Ordinances, Town of Vienna, Dane County, Wisconsin, and
<br /> ,' ree to pay for any professional assistance as provided for in 10.31 of the
<br /> • 4z.. Ordinances. I (we) understand that the ordinance refers to minimum and maximum
<br /> _�
<br /> .; lot sizes, site layout, utilities, driveways, roads, landscaping, lighting,
<br /> Y ' . bltce,areas� fees, professional land planner review, erosion control, and
<br /> � ,e. 1ation pf all improvements as it applies to ali building permits with the
<br /> _ 4") of non-residential buildings. I (we) also 'hereby acknowledge receipt
<br /> z -A. ,),y'.).4. ',..fit the Town's Land Use Plan. - `
<br /> , s$ree to proceed in.accordan_ ce with the Town' ordinanc s plan'
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<br /> 4. �X, , �€8 9.Z �► ' Signed: ,f,,, _ . _
<br /> 'i414-11.;1-'''''t £. # , , AK .
<br /> , '''''+ . e° .'44 fi. - . Town -Clerk
<br /> • '▪ A , t ttee Action:- Date: 7/alai AZ.
<br /> t':',."::‘,; . , rd Actfon: ' o-y, .�. a t/ qa
<br /> /J' Date:
<br /> 4` #r-..Clerk' • Green - Chairman Yellow - Planning Committee
<br /> Pink - Buildings TnRnar•tn+- Gold - Applicant
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