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APPLICATION FOR APPROVAL OF SITE # 3 <br /> TOWN: Per vl SECTION 2-, 1/4 1/4 <br /> PROPERTY ADDRESS /11,9,r f-i G f 369- ,5-7-A/ 7 <br /> PARCEL # C 6-0 - D� <br /> APPLICANT M t C X Cr CSI A'1 ��t 4/4i A/C'f / /7 n-•� <br /> Address J! V /_-//-"C )/X) /)� /// <br /> e7,9 (AL 7.- <br /> Phone 3 � - 01 <br /> OWNER K✓11 PeIG <br /> Address 7S C777/ <br /> Phone <br /> THIS APPLICATION INCLUDES THE FOLLOWING INFORMATION <br /> A. A site plan showing the proposed location of the building or <br /> addition including: <br /> 1. Location of the proposed driveway. <br /> 2 . Location of the pertinent cropland. <br /> 3. Soil Classification on the site. <br /> 4. A written statement verifying that the proposed use <br /> will not: <br /> a. Limit the surrounding lands potential for agricultural <br /> use. <br /> b. Conflict with agricultural use on the <br /> land or on other propert ' s. <br /> Signature/ 4 C !Y owot <br /> APPRUW' <br /> Date <br /> MAR 231393 <br /> APPLICATION SENT TO THE TOWN: 8 . <br /> COMMUNICATION RECEIVED FROM THE TOWN: _9 -// 7-9---.2 <br /> 545 (app apv site A-lex) Pg 4 <br />