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X.a .. <br /> "NO'NCE OF INTENT" TO SUBDIVIDE <br /> REQUEST A ZONING CHANGE, AND/OR BUILD A STRUCTURE <br /> TOWN OF VIENNA <br /> Name: Jz R L p <br /> Address: 7o v' .11 t 7 1/3 DO sI J 44s.5` Telephone: 07e_'20 S;V - 5 <br /> 1. Purpose: ee its rS3 /an_ ea S ti // x s'r5IC/ 7p f e"a s 4-1 n (f/ofa�e0(,d,',_ t. <br /> I .3 Ac s <br /> 2. Legal description of parcel in question: /}- `I'?�'�'df`' /tz ""/ f'�"�`' <br /> Fro' ( 's�.0 an MId/3a•I de tcl-eftAvt,4d�.r�► �a�{� �., Z`h{ �' ).y 14/1-54 octAeS. e%. <br /> U 5'e fi <br /> yet 3 Uj 79 ' E T�tv <;t`• v k tt et Pa..7 t Co. sa y I hJ1S <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 /> t <br /> 4. Type of action requested: <br /> E) Land division <br /> tJ Zoning request ro 4>-/ A <br /> El Building permit <br /> J Other '' <br /> 1 <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 <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 Town's ordinances and plans. <br /> i _ i <br /> Date: A T-4"d / l 9W L5 Signed: 9tti <br /> 92111_e rj letM„, <br /> Date filed: <br /> Town Clerk <br /> Planning Committee Action: Date: <br /> Town Board Action: Date: <br /> Original - Clerk Green - Chairman Yellow - Planning Committee <br /> Pink - Building Inspector Gold - Applicant <br />