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• <br /> APPLICATION FOR APPROVAL OF SITE # 7 7 - 93 X 'co s 2 zy <br /> Sw s ) Sect- /3 <br /> �c <br /> TOWN: e 64-ov SECTION / 523 1 4 1 4 / .2z,-.3�AE i cJ c c-Z3 <br /> E-4 <br /> PROPERTY ADDRESS 1,-)e c 5700 �,'�( e_ /2 <br /> PARCEL #5 07/ ( - 44 / -8o(0 <br /> APPLICANT i- K, s /-11,d: A . 5i7P it /e l o((- <br /> r <br /> Address /4o� <br /> l e 'e (d c-Jf 53531 <br /> Phone CroE • 76,4 • g464 l- ZZ( - z -az <br /> OWNER <br /> Address <br /> Phone ■s0 8)-1 l04-554 coq <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 properties. <br /> Signature ( � .&/c <br /> Date • ` if 3v f X13 <br /> APPLICATION SENT TO THE TOWN: <br /> COMMUNICATION RECEIVED FROM THE TOWN: <br /> 545 (app apv site A-lex) Pg 4 <br /> - (-3 e'Ll'---t4s) <br />