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APPLICATION INFORMATION <br /> PT'N/C.U.P. # V 9 --v TOWN 64/10/117-- <br /> QN Sec. Z y <br /> OWNER (kAU,ALF F_ . Kt -La -__-- ---- ___- <br /> AGENT ,c-Am g <br /> PARCEL ADDRESS 3 93/ 6-i-ti '7? / V, <br /> PARCEL # 30-2 V 'yd Q , ( 1- 7 / J' AREA ZZ, 4C . <br /> SUBDIVISION — CSM # /Vie, <br /> $CROPLAND ZS 4 PASTURE - OTHER 7•a) oapf g t ,Pi1S7-14( <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/Pei. /GdJp What percentage of <br /> improvements are located on rezone/C.U.P. Pc'l. <br /> SEWAGE DISPOSAL, PUBLIC — PRIVATE - / EXISTING <br /> NEW PMT.# WATER: - PUBLIC PRIVATE ,,„---- <br /> ADJACENT LAND USES A _ / aJC) <br /> EXISTING ZONING A -/ (ex) <br /> ti <br /> REQUEST IS FOR 1eW _ <br /> * EXISTING USE �' e = `iu ✓ , L= - -k- <br /> 4, t ��- .A .0e. _ • !' <br /> .1 or <br /> * EXPLAIN PROPOSED USE _ i ,, 3 �o - ! C /f��v l 44/ L ,/ ' <br /> / i / 41 <br /> 1 _ ` - - <br /> DE LI,P„ENT WILL STA'T TOWN BOARD CONTACTED? YES X NO <br /> i..,i.., ' j'.� DATE: /- -cP <br /> (Agent - Owner) <br /> PT'N/CUP# 37S V <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />