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APPLICATION INFORMATION <br /> PT'N/C.U.P. # �( TOWN / 40/(1/? Sec. 7 <br /> OWNER &!/(,24.&e.-C- (-SSe -re/L/ <br /> AGENT �I <br /> PARCEL ADDRESS 5 /"7? ae �i �(/ r <br /> PARCEL # ZO -17- SJ W ZF AREA Or 63 <br /> SUBDIVISION CSM # Cj 36 Y3 /°2/3 <br /> %CROPLAND PASTURE _ OTHER /od To of =S jl ✓� <br /> If From A-1 Agriculture (Exclusive) , How many acres remain in the A-1 Exclusive Zoning <br /> Lot? -^------ <br /> Improvements are located on: Original Pc'l. Rezone/Pc'1. What percentage of <br /> improvements are located on rezone/C.U.P. Pc'1. /De) <br /> SEWAGE DISPOSAL, PUBLIC PRIVATE EXISTING <br /> NEW PMT.# WATER: - PUBLIC PRIVATE <br /> ADJACENT LAND USES ///1 ,7 �) AEI <br /> EXISTING ZONING / ‘ <br /> REQUEST IS FOR /-,(/1.JOI//�[, Dr GC)/i-TL - D_f — r (E-)0) <br /> * EXISTING USE _ . <br /> * EXPLAIN PROPOSED USE _716 ze..Z_ Q ((&r- £Cel3jcYc/ <br /> /331 —_ �/ / � .� zg796) r" <br /> DEVELOPMENT WILL START /9:4/49 TOWN BOARD CONTACTED? YES' NO <br /> DATE: 6 -- // ;7 — <br /> (Agent - Owner) <br /> PT'N/CUP# <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />