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APPLICATION INFORMATION <br /> PT'N/C.U.P. # if() TOWN (, 9S c R'A/A/S sec. j6 <br /> , <br /> OWNER 804)VI ®/P1LIO/=:A/7 U. - -- ---AGENT ,jMIV 7/44SoA( <br /> PARCEL ADDRESS 09(95' z2/3,_<t',QIlArdgi,' IeO. <br /> PARCEL # ID - /(r2 3 er AREA <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? 9d Ae- <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. <br /> SEWAGE DISPOSAL, PUBLIC PRIVATE � EXISTING <br /> NEW PMT.# l WATER: - PUBLIC PRIVATE <br /> ADJACENT LAND USES Al 6x) <br /> EXISTING ZONING if - ! <br /> REQUEST IS FOR <br /> * EXISTING USE rieJN(pg•i/ £fSEA2Gff .s7Ar-mil lop (o&DU O 3,4sea <br /> pzsa YATiottAL AsreOm2 _ _ <br /> * EXPLAIN PROPOSED USE - `j/%VI2 E/ 77AI6' 1SZ 4.)/TI A 32- /X 4 / <br /> LAB . <br /> DEVELOPMENT WILL START /( 5, /4( g. TOWN BOARD CONTACTED? YES _ NO <br /> DATE: <br /> (Agent - Owner) C� <br /> PT'N/CUP# Y917 <br /> 1 <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />