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APPLICATION INFORMATION <br /> PT'N/C.U.P. # 363Z-- TOWN L ai cam-Pce:C Sec. <br /> OWNER a,jen-C) i3U I) — -- ---- <br /> AGENT e\-11V■IE., <br /> PARCEL ADDRESS S ? ( - C/74/2 ]/'%Z, (//12-Z-/L Y "Acf <br /> c <br /> PARCEL # 3 3- u '-Zo IA F Z.0 t SAREA <br /> SUBDIVISION 0S-c-`k\‘ =5- CSM # <br /> %CROPLAND PASTURE (OO7©HER <br /> If From A-1 Agriculture (Exclusive) , How many acres remain in the A-1 Exclusive Zoning <br /> Lot? C) <br /> Improvements are located on: Original Pc'l. Rezone/Pc'1. What percentage of <br /> improvements are located on rezone/C.U.P. Pc'l. /06) <br /> SEWAGE DISPOSAL, PUBLIC PRIVATE _ ✓EXISTING <br /> NEW PMT.# WATER: - PUBLIC PRIVATE <br /> ADJACENT LAND USES - - /C 7)) fr t Cam•it LaN D f --16-Do <br /> EXISTING ZONING if—/ 6-1() <br /> ti <br /> REQUEST IS FOR _1 <br /> O <br /> * EXISTING USE J <br /> * EXPLAIN PROPOSED USE t�!./CSC 1 l� / 274.16 <br /> 671(3e4r/Z U�J c>�J� - 70 as ,€ rr_� � - TO c3&E Sacp) <br /> DEVELOPMENT WILL START !, 17711,- TOWN BOARD CONTACTED? YES NO <br /> de-A-LAS k�"'! CL(-/ DATE: A-6— /CJ //f!1 <br /> (Agent - Owner) <br /> PT'N/CUP# <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />