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APPLICATION INFORMATION <br /> PT'N/C _ _'( 7' TOWN C Q/ E 6rt , Sec. (5...-'' <br /> OWNER _2.. )..-7,1,,,//^ y' �dJ-T'T /7!/_,L..c.rmaz._ — <br /> / /I <br /> AGENT r/....i...,... 4 Gam*'^i°1 /-- <br /> PARCEL ADDRESS <br /> PARCEL 34-4—p,0 AREA D`y/�`O _ AREA /,C3` a -4 ;� <br /> SUBDIVISION CSM # L/ <br /> %CROPLAND gD PASTURE OTHER ...2,-.; i* -c.i. ---.A. <br /> If From A-1 Agriculture (Exclusive) , How many acres remain in the A-1 Exclusive Zoning <br /> Lot? 0 <br /> Improvements are located on: Original Pc'l. Rezone/Pc'l. k 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/ <br /> ' & _D 4 E ��'� :t. -S' 14 "- 'taAb <br /> /-1/(- 7.t.. -r-T rs .S,-t / rimer v <br /> EXISTING ZONING - <br /> . _ <br /> REQUEST IS FOR A �_ ,,, 1 ;"':44' /-7--0 2_ J O/2y� i e[/1.y>i.uLs /gi.34a. <br /> `��/2-✓( QdL___ / <br /> * EXISTING USE - �L �� ( �„'_-^� `f° � ,L����,�✓ x4v <br /> * EXPLAIN PROPOSED USE - _2/1.3/2 „.,,.. /-,7:•v� --- � _.� — oer c e/ 'Q7-'r-/ <br /> r te= c -1 _,C1 -.4!) -_. �ti -, _, ri i' - <br /> • <br /> DEVELOPMENT WIDL START ‘,...i4-7- ) c7 - TOWN BOARD CONTACTED? YES X NO <br /> /1'4 lrC G G`.f � .0"�/ _ DATE: / --'7 <br /> (Agen - Owner) <br /> PT'N/CUP# eZ T <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />