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APPLICATION INFORMATION <br /> PT'N/CAP: # ,5-> 9 f' TOWN .r.✓ � / .fir Sec. 9 Naz-/l <br /> OWNER /Q C G <br /> AGENT ep4yz..`'-0L- o L-�'4 I / 76-J, //// /r'/-37'.A/1-2 c77- / r <br /> PARCEL ADDRESS o / S 77/ / ``4',— -5$/ -.4- <br /> PARCEL # ,92-0�! - � -/ AREA ' 3 / -t2-. `.• .7 (-- <br /> SUBDIVISION CSM # <br /> %CROPLAND /DO PASTURE ----OTHER <br /> If From A-1 Agriculture (Exclusive) , How many acres remain in the A-i Exclusive Zoning <br /> Lot? l:0 <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. j <br /> SEWAGE DISPOSAL, PUBLIC PRIVATE ) _ EXISTING <br /> NEW PMT.# WATER: - PUBLIC PRIVATE <br /> ADJACENT LAND USES 040-, <br /> EXISTING ZONING /4-l r)c . <br /> REQUEST IS FOR 'tea - 2 . <br /> * EXISTING USE C, 1.Ak.v`c , <br /> * EXPLAIN PROPOSED USE <br /> DEVELOPMENT WILL STA: �^ TOWN BOARD CONTACTED? YES NO <br /> flair <br /> 4 <br /> / / / <br /> DATE: <br /> ‘z% <br /> (Agent - Owner) <br /> PT'N/CUP# --. 'S 06"-- <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />