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"NOTICE OF INTENT" <br /> TO REQUEST A ZONING CHANGE Pr-") <br /> • 'TOWN OF MONTROSE <br /> Name: <br /> /IL ,L7 Af nirJ <br /> Address: / /00 ? Rix( Telephone: ( ) y2 Y- 6 2-0 <br /> 1. Purpose: /.2_2 <br /> 2. Legal Description of parcel in question: S W l f 3 T570 i'C y� <br /> 3. Attach map or sketch of parcel (professional, scale drawing not nece ry) . <br /> Please show: <br /> (a) Road cuts <br /> (b) Dimension of land (including proposed division, if applicable) <br /> ((c).7 Location of structures <br /> 4. Type of action requested: � / <br /> C7 Zoning request /~/com. �E- , 1 6 (l� ! / 9,64.€Z, <br /> (b) Other <br /> 5. Miscellaneous information: <br /> I (We) hereby acknowledge receipt of a copy of the Town's Land Use Plan, which <br /> is to be returned to the Town Clerk when action is complete. <br /> I (We) agree to proceed in accordance with the Town's ordinances and plans. <br /> Date: 21/ ZS gb Signed: 4)2, <br /> Date filed: ��7/ , ' ( ' t fc � e _5 <br /> Town Clerk <br /> 7 -s. <br /> eva,140.,(4,11,Planning Committee Action: Date: 3/d/I <br /> Town Board Action: , , 4,4e-CL c_, Date: ;7/4 J�;.l <br /> RECEIVED <br /> DANE COL4 / <br /> ZONING <br />