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APPLICATION INFORMATION <br /> PT'N/C.U.P. # 7S497 VI)`{ TOWN " 1� fAks.k Sec. ` <br /> OWNER ___%_ _11i (3..(_E_... 6-1(7/04/ -.--_ ,- --- <br /> AGENT <br /> PARCEL ADDRESS 4 4 Lli i / <br /> PARCEL # 2c) AC' 246 e AREA cg .ie <br /> SUBDIVISION Z-07-- <br /> CSM # Jo 2 2. <br /> %CROPLAND PASTURE OTHER c> CS 1 F 12i .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. ,Rezone/Pc'l. (What percentage of <br /> improvements are located on rezone/C.U.P. Pc'l. _/, 1 <br /> SEWAGE DISPOSAL, PUBLIC PRIVATE EXISTING <br /> NEW PMT.# WATER: - PUBLIC PRIVATE x <br /> "" <br /> ADJACENT LAND USES _ (k S ' 12' r `t 6,ll A �Q OS f'c <br /> . /9- 1 (iv VrIco-Ni-r- ` <br /> EXISTING ZONING ' 1 <br /> REQUEST IS FOR - t <br /> * EXISTING USE - See- A f g'4 ec (et-eVi9S --e_ <br /> * EXPLAIN PROPOSED USE le(1. J[f _ NV40 (A/Al2 /47 LS-z, ,, <br /> - -- ) - - - <br /> DEVELOPMENT ILL START �.( w,c' TOWN BOARD CONTACTED? YES NO <br /> c <br /> X DATE: C{/73// <br /> (Agent - Owne ((( <br /> PT'N/CUP# 3 1 q 7 <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />