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' "NOTICE OF INTENT" TO SUBDIVIDE I
<br /> REQUEST A ZONING CHANGE, AND/OR BUILD A STRUCTURE • t
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<br /> TOWN OF VIENNA k
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<br /> Name: G,ttR R/.1) 1 ilhei/t"(e f/P,FT 11)/9 7 2 M
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<br /> Address: .5 , Ra, E 'T R,D, I JAyN V Ar., A, W/. Telephone: ((..0)8 yf-s 7 P(
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<br /> 1. Purpose: t
<br /> i',r,z D ii b.7- P✓f,)G E-,_ v A Id r//chi ,,'v u S<' f c,9.P,94., ,i,Pr S 17W.I7- U Te IF /
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<br /> 2. Legal description of parcel in question: ,y
<br /> ,7R-7, Sw y 'Ey corn FF7tT iY oFSw co.P, TN. lzoA-r, E, /?.ZFr, s /Go ,r
<br /> W / /r2 fT 7D P d /3 3O7aO S1 A"- m/,t 7t// -5 19 9PiO4,, D.c3'ch'/Nr/D/1 1
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<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 /> (c) Location of structures
<br /> 4. Type of action requested:
<br /> . [] Land division
<br /> ® Zoning request
<br /> ED Building permit
<br /> 0 Other
<br /> 5. Pay fee, if applicable $;
<br /> (amount)
<br /> 6. Miscellaneous information: .
<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 f
<br /> lot sizes, site layout, utilities, driveways, roads, landscaping, lighting,
<br /> public areas, fees, professional land plannner review, erosion control, and
<br /> 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 Ti - 's ordinances and plans. f
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<br /> Date: , S / y h.� Signed: .f .
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<br /> Date filed: /e)�7/ 0 /1�� �/. f; �� .y»r 1 '
<br /> Town Clerk I
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<br /> Planning Committee Action: ( , Q_-t _7 Date: / / d
<br /> Town Board Action: -y l A __A-,..„ Date: //e/7// S' t
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<br /> Original - Clerk Green - Chairman Yellow - Planning Committee
<br /> Pink - Building Inspector Gold - Applicant
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