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"NOTICE OF INTENT" /f <br /> TO REQUEST A ZONING CHANGE <br /> 'TOWN OF MONTROSE <br /> ` r' % // �c "G <br /> Name: l 7� <br /> Address: lt�'27 Xtel/d-c--1-7-. ("--- 1 ) Tele phone: (�° _h� <br /> 1. Purpose: <br /> 2. Legal Description of parcel in question: <br /> 3. Attach map or sketch of 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 /> (a) Zoning request <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:____ :4-- Signed: t _—7._,, <br /> Date filed: `� '__ L _. _ ._���� - <br /> T. Clerk w <br /> i <br /> Planning Committee Action: `,• ,- /,�.,;i..■ !AI. �.%kill_;at` -e: .�� f�,41' <br /> Town Board Action: Aille /4 ij%/ Date:_. ..,......,, �_ Z <br /> ' RECEIVED <br /> DANE COUP I!I <br /> ZONING '`%- - <br />