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APPLICATION INFORMATION <br /> PT'N/C.U.P. # 33f?Y TOWN _ Gr/2S7 C 7 Sec. z0 <br /> OWNER Z.,�v/!/ - f/ CYI�J „'✓ <br /> AGENT / 6/(1 <br /> PARCEL ADDRESS 1pOv,6 (p U yZ e/-77/ <br /> PARCEL # 33 zo - 373 AREA <br /> SUBDIVISION ie1/24. 6, CSM # <br /> %CROPLAND PASTURE OTHER /0e) 96 <br /> If From A-1 Agriculture (Exclusive) , How many acres remain in the A-1 Exclusive Zoning <br /> Lot? /v S / C <br /> Improvements are located on: Original Pc'l. Rezone/Pc'l. X What percentage of <br /> improvements are located on rezone/C.U.P. Pc'l. 2_ 047) <br /> SEWAGE DISPOSAL, PUBLIC PRIVATE (..... -EXISTING <br /> NEW PMT.# WATER: - PUBLIC PRIVATE ✓ <br /> 77 <br /> ADJACENT LAND USES l/G- 674 C/ /T/�/ .r /g-C.� <br /> EXISTING ZONING �' .E X( <br /> REQUEST IS FOR — <br /> * EXISTING USE PE-5 / 7 'iv c_-� v ,j'ia C <br /> * EXPLAIN PROPOSED USE _Vi i.l//9 ' / 7'�f� ��F O ' 611&(-1 <br /> (-1 <br /> /S 7,�6_�_.../ WSC'S / Ti/� U u/N - <br /> lil] V_ Ai//! -5 V !zz -e tL._ c� e-07— <br /> C 7— e s, <br /> DE 0' EN WILL START /5/ TOWN BOARD CONTACTED? YES , NO <br /> car,.. _t* L _ �/�i �� DATE: <br /> ' (Agent - - <br /> PT'N/CUP# -yreY <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />