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`i <br /> • "NOTICE OF INTENT" <br /> TO REQUEST A ZONING CHANGE <br /> 'TOWN OF MONTROSE <br /> Name: , <br /> Address: % ›A". ' r elephone: WV? <br /> 1. Purpose: <br /> // <br /> 2. Legal Description of parce in quest,on• <br /> 3. Attach map or sketch of parcel p of-ssi. al, qa.le drawing not necessary) . <br /> Please show: 5 � / <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 /> RECEIVED <br /> (a) Zoning request <br /> (b) _ MAR 05 1984 <br /> DANE COUNTY <br /> 5. Miscellaneous information: ZONING DEPT. <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: 1 / l Signed: 1 <br /> Date filed: te,����: _ <br /> own Clerk <br /> Planning Committee Action: ' i�jGP Date:��7/ <br /> Town Board Action: egat�/ <br /> Jr 04, <br />