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• 0 ✓ APPLICATION INFORMATION , <br /> PT'N/C.U.P. # �Z3 TOWN 84�/?r Sec. 3Z <br /> OWNER Ak 021_ ._5%-,eaviti,e/k/ - --- ----- <br /> AGENT sj¢� <br /> 1.45/4 <br /> PARCEL ADDRESS 9/h) 0: /: / <br /> PARCEL # QZ-3Z- 6�J ' I AREA / ACS,. if <br /> SUBDIVISION CSM # <br /> %CROPLAND — PASTURE OTHER <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'l. What percentage of <br /> improvements are located on rezone/C.U.P. Pc'l. /esy,', <br /> SEWAGE DISPOSAL, PUBLIC PRIVATE / EXISTING <br /> NEW PMT.# _ WATER: - PUBLIC PRIVATE <br /> ADJACENT LAND USES -A-1 (i ) <br /> EXISTING ZONING .Z - / <br /> ii <br /> REQUEST IS FOR �6S/D3,&ITZ4L FX/30/5. DA( <br /> N* EXISTING'USE 4(2a-it"( _ s'i._,.'.V. - <br /> - -��° t r <br /> * EXPLAIN PROPOSED USE. - .2 / _ _ ,r _....a; <br /> DEVELOPMENT WILL START TOWN BOARD CONTACTED? YES NO <br /> ii- �2 d7 2 ..:,/i -".a►0. , .- - DATE: <br /> (Agent,,wner) <br /> PT'N/CUP# 623 <br /> #1620- 69 (12/84) Z. PT'N/CUP INFO <br />