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.4 . : <br /> "NOTICE OF INTENT" TO SUBDIVIDE <br /> • REQUEST A ZONING CHANGE, AND/OR BUILD A STRUCTURE <br /> OF VIENNA f <br /> `�" c <br /> Name: 1-1,a)- p �t I 7 1/ J l a <br /> Address:60g ki,44, 2 f/i fitYJct LUl.S Telephone: ad - 41E/_x f <br /> 1. Purpose: _ �3f <br /> kern4 /to- kl--/ •......3 <br /> 2. Legal description of parcel in question: j <br /> Se 30_ Q r 70, 6 Ac $E.I s - ,r-c Z ‘ .w, 5,z' al- <br /> «t RkG eilsa� 14 41,5 f <br /> 3. Attach map or sketch or parcel (professional, scale drawing not necessary). f <br /> * Please show: <br /> (a) Road cuts <br /> (b) Dimension of land (including proposed division, if applicable) # <br /> (c) Location of structures <br /> 1 <br /> 4. Type of action requested: • <br /> 0 Land division <br /> El. Zoning request. <br /> Building permit , <br /> 0 Other t' <br /> g <br /> c <br /> 5. Pay fee, if applicable $ <br /> (amount) <br /> 6. Miscellaneous information: <br /> -St gi.(4.t.44.- c4' egd,e..,, 17 73 I <br /> I (we) hereby acknowledge receipt of a copy of the Land Division and Sub- <br /> division Regulations Ordinances, Town of Vienna, Dane County, Wisconsin, and <br /> agree.to pay for any professional assistance as provided for in 10.31 of the <br /> Ordinances. I (we) understand that the ordinance refers to minimum and maximum <br /> A:' lot sizes, site layout, utilities, driveways, roads, landscaping, lighting, <br /> public areas, fees, professional land plannner review, erosion control, and <br /> lt installation of all improvements as it applies to all building permits with the <br /> exception of non-residential buildings. I (we) also hereby acknowledge receipt <br /> of a copy of the Town's Land Use Plan. <br /> I (we) agree to proceed in accordance with the Town's ordinances and plans. <br /> Date: 41_3' Dy Signed: / A_ . ..-'L! f ! 4t <br /> / <br /> Date filed: 7-4� , <br /> • / Town_Clerk <br /> Planning Committee Action: I - AA� / Date: VII/ c- <br /> Town Board Action: Q/ <br /> `' Q/+*-��w.C/ Date: ` 3/6-j <br /> Original - Clerk Green - Chairman Yellow - Planning Committee / j <br /> Pink - Building Inspector Gold - Applicant <br />