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{�; APPLICATION INFORMATION <br /> PT'N/C.U.P. # 3S ( CJ TOWN a..41.4L Sec. 7 <br /> OWNER Se�/ / ti/ : ‘Al/e.--c CI, <br /> AGENT A( / U 4.Ey UGe? / C} 57/E- <br /> PARCEL ADDRESS 2-346/ /71/2-7415/47I-Z,/ / 7r �c <br /> PARCEL # 'd7 86 7 //c/-67-88 AREA % AcrAG <br /> SUBDIVISION CSM # <br /> %CROPLAND PASTURE OTHER <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'1./00 v70 <br /> SEWAGE DISPOSAL, -PUBLIC PRIVATE c_.../EXISTING <br /> NEW PMT.# WATER: - PUBLIC PRIVATE ✓ <br /> ADJACENT LAND USES XL —/ ( x) (//C T <br /> EXISTING ZONING - <br /> REQUEST IS FOR (2-1 i /?/V- a- <br /> * EXISTING USE <br /> * EXPLAIN PROPOSED USE _ /2 :: d!✓ j O e/ e--exf Jo Lc,O/ <br /> i6)-7t9,3.r1e 7 <br /> DEVELO• WILL T ,� TOWN BOARD CONTACTED? YES NO G/ <br /> DATE: <br /> (A9Xt - Owner) � <br /> PT'N/CUP# "J -9 8 <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />