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APPLICATION INFORMATION !�` 1 <br /> /f <br /> PT'N/C.U.P. # Q TOWN �/ Sec. <br /> OWNER C 1`zc ( &, JiLLV <br /> — --- ----— <br /> AGENT ���� I `1v �C. AJc 3 <br /> PARCEL ADDRESS a —// '228. // f �C l' I�& / V "'T <br /> PARCEL # -7Z,Z Vs 0.4 J Or AREA &s CQ <br /> SUBDIVISION S*T-t 1.1 CSM # <br /> %CROPLAND PASTURE OTHER ✓i4 LOT—. <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'l. <br /> SEWAGE DISPOSAL, PUBLIC — PRIVATE X EXISTING <br /> NEW PMT.# WATER: - PUBLIC PRIVATE Y <br /> ADJACENT LAND USES <br /> EXISTING ZONING e-Q-' 2 <br /> REQUEST IS FOR Cj— <br /> 2 <br /> * EXISTING USE G c r, <br /> * EXPLAIN PROPOSED USE .11 ka'dd I fJ< fd Okl /1 S?a,, (cc STOr4�� <br /> ciod ref-i'rs O� �` �S_ G����LPC�f/ d�a� (���� G�PS IdI��K /��7 e«,3-/ -1 l <br /> _44-10_±.: f0r _1!°fle 15 Or to/A t ryeS - <br /> DEVELOPMENT WILL START 4 S .4 / TOWN BOARD CONTACTED? YES ✓ NO <br /> X <br /> ,If///z (/ -A-4 4,2,41 DATE: 5 / tf-% <br /> (Agent - Owner) �o <br /> PT'N/CUP# <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />