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APPLICATION INFORMATION <br /> PT'N C.U.P. # TOWN S\ lly a00•S c. <br /> OWNER <br /> AGENT el.!) <br /> PARCEL ADDRESS 2� 5 C2 <br /> PARCEL # 23 - - [ OBS i z AREA I t / ± <br /> SUBDIVISION Z.07-3 `mil l T Jt3 D CSM # -"-('(S( <br /> %CROPLAND PASTURE OTHER _ r (�S <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. �fjRezzo Vl)ne/Pc'1.( What percentage of <br /> improvements are located on rezone/C.U.P. Pc'1. E2 j <br /> SEWAGE DISPOSAL, PUBLIC _ PRIVATE EXISTING <br /> NEW PMT.# _ WATER: - PUBLIC PRIVATE x <br /> ADJACENT LAND USES _ ^' Ce5 - SR buPt.I { <br /> EXISTING ZONING P' 2_ <br /> y <br /> REQUEST IS FOR -� <br /> * EXISTING USE h i t <br /> * EXPLAIN PROPOSED USE _ ......c)-77-‘4...c>1/c4.4.-f_ .f ►"ek'-, coelas �-�a i le <br /> — w ,f L re ina(IL 11 a S2 Kte <br /> DEVELOPMENT WILL START e X/ S' firt- TOWN BOARD CONTACTED? YES NO <br /> / <br /> AV.4( _ DATE: /cam <br /> ( .gent - Owner) <br /> PT'N/CUP# <br /> #1620- 69 (12/84) Z. PT'N/CUP INFO <br />