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. tqw qt.3 <br /> APPLICATION INFORMATION <br /> PT'N/C.U.P. # _ `, \ Le TOWN ' (Osj24 Sec. ( i <br /> OWNER C ( ?•1/4-A SS _r _ _ ---- <br /> AGENT a_`- _____ _ S%f J S QL <br /> PARCEL ADDRESS 7)7 g / C Ecf67� &) 'a PAO, <br /> PARCEL # 3S " I C I — 3q1-e. c I AREA <br /> SUBDIVISION ¶Cc:i:D51`1> CS # 17- \1 <br /> %CROPLAND 4(p PASTURE 25:30:;;;;;11- <br /> If From A-1 Agriculture (Exclusive) , How many acres remain in the A-1 Exclusive Zoning <br /> Lot? V _ <br /> Improvements are located on: Original Pc'l. A Rezone/Pc'l. ( What percentage of <br /> improvements are located on rezone/C.U.P. Pc'l. / 0_C) <br /> SEWAGE DISPOSAL, PUBLIC _ PRIVATE Y EXISTING f( <br /> NEW PMT.# WATER: - PUBLIC PRIVATE <br /> ADJACENT LAND USES <br /> /04 C ct- 0 - t (E)c) <br /> EXISTING ZONING 4 — l0� , <br /> a „ <br /> REQUEST IS FOR /�' <br /> * EXISTING USE `I©tk S e RA-01. i_ S 1-e L L°5C:eel P <br /> * EXPLAIN PROPOSED USE _ _Ze_2 PC_ -21g., c'n • . • r c <br /> Res Id�V�+S `��.i let t,iC �_ l� P � <br /> —\6 \k___J 2_ coLufs <br /> -Sibale DEVELOPMENT WILL START ex. J�t __ TOWN BOARD CONTACTED? YES _ NO ;X( <br /> II •!,i 1/e_ . ( 4 ' ' iab q • DATE: \ V -- CR <br /> (Agent - Owner) <br /> PT'N/CUP# <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />