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°NOTICE OF INTENT" <br /> Y7t TO REQUEST A ZONING CHANGE <br /> • 'TOWN OF MONTROSE <br /> Name: /'M/V T�/i , 7E L E 41 <br /> Address: /5 c/V Ada •..,,r si m4J,:re44 Telephone: OM ..2,c i> — /.-,S- <br /> 3-3 7 // <br /> 1. Purpose: '\e2ane. Q2 4t .4_/ Exc /'L1J/fre Yo ,4 /1 -t/, <br /> ) <br /> 2. Legal Description of parcel in question: <br /> c$f'L° 4>4>Le C /l? d <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 /> oning request <br /> (b) Other <br /> 5. Miscellaneous information: <br /> =n teti0/ 4, us t cro//uk,o1 le., veye/a6/e 1 end d st c/,'mi, <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'4I o••inances and plans. <br /> Date: P9 Signed: J1(262, . . ' _ <br /> mMA7-"1 G- 11:-1ZEA) c. <br /> �` ./� <br /> Date filed: , S.� /���?c-�_t e-�-c_�.� �..u���._.�_.�ry <br /> / Town Clerk <br /> Planning Committee Action: . Ad / ,a444.4.44_, eatzl. Date: 6 7026, <br /> 0 <br /> Town Board Action: ,11c..6:A/r._ -- �■ Date <br /> cam- c ,M• k 4? �� <br /> -. 111 i019A <br />