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APPLICATION INFORMATION [qt-- <br /> PT'N/C.U.P. # 3;7//5 TOWN /4/(162<fe4 2 Sec. j2 <br /> OWNER /.� rC - -- ----— <br /> AGENT / <br /> PARCEL ADDRESS . O r A(/Jr_AmiuMW- 7 , <br /> PARCEL # -7iZ /4E5 AREA li/c 4 <br /> SUBDIVISION CSM # F�! <br /> %CROPLAND PASTURE OTHER /U ?U l2a-5 s Z./9A4t� 6/�tQ/t,✓ _ <br /> If From A-1 Agriculture (Exclusive) , How many acres remain in the A-1 Exclusive Zoning <br /> Lot? f Z(> <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. 3v Z <br /> SEWAGE DISPOSAL, PUBLIC — PRIVATE �/ EXISTING /77- <br /> NEW PMT.# WATER: - PUBLIC PRIVATE <br /> ADJACENT LAND USES K E S I D _ IV C E G IZ 1 , <br /> EXISTING ZONING 4 - J CL=k Cz-, <br /> REQUEST IS FOR k//- ` <br /> * EXISTING USE �S 117 z.N .e._ <br /> * EXPLAIN PROPOSED USE � 0 GC j Sf ri3 12 K1+Q Die.cl G 1\1 S )`/O <br /> DEVELI• ,NT WILL START TOWN BOARD CONTACTED? YES NO <br /> DATE: cz ? /72) / 9 .E/ 1 <br /> (Agent - Owner) <br /> PT'N/CUP# 13'7 / <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />