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"NOTICE OF INTENT" <br /> TO REQUEST A ZONING CHANGE <br /> °TOWN OF MONTROSE <br /> Name: At /4/, 0 �4.e/ .2 0 la/ i,)/ wr pr Q° 4)4,640.1a04 IFere_24 <br /> Address: 7To ['p✓lelr ci /9 de Telephone: (6a45 836'-- .2 ' <br /> 07dldid. id,-1 , / <br /> 1. Purpose: <br /> fcc v, 41 t xc /'v)' >io 1e44 `/ <br /> 2. Lega ,/Description of parcel in uestion: <br /> P�-�`a; 4- ,,,,, �/ % 4/0�f.7a d e S 2 c4 e/ . <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 /> it/cu, riz c_�se.. . G,' sl-e 0 k e T� ti ,s /o 4v s a r v e >, <br /> i - tee. k ,►wel/e.- Z ' "" e C,ce,i if dead/1-7 v- <br /> reGe%liN y <br /> ,,tt .-ye <br /> I (We) hereby ackpwledge 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 /> lik J <br /> Date: / Z 6,-J/fn Signed: ' !� - <br /> / <br /> Date filed: /F/7-87 / L- A i. - L *. l� C �&,.;,e,: 2 <br /> To iii erk <br /> Planning Committee Action: �'� Date: /0 — l c-8)7 <br /> Town Board Action: c'�7 /12,x'• {�%Ld Date: /11 -j7--S7 <br />