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APPLICATION INFORMATION <br /> PT'N/C.U.P. # S/ �_ TOWN /9 Sec. /3 <br /> OWNER (. 63C r 44v !7l" - ss -- ----— <br /> AGENT <br /> PARCEL ADDRESS "J.i/ -L// /L,./ 877 <br /> PARCEL # O/-0/—/7i, , l AREA 7SrA(7- <br /> SUBDIVISION CSM # DA-D. <br /> %CROPLAND /OD PASTURE _ OTHER - <br /> If From A-1 Agriculture (Exclusive) , How many acres remain in the A-1 Exclusive Zoning <br /> Lot? .‘7 -c__ <br /> Improvements are located on: Original Pc'l. � R zo�c'1. What percentage of <br /> improvements are located on rezone/C.U.P. Pc'l. C� <br /> SEWAGE DISPOSAL, PUBLIC PRIVATE 7 EXISTING <br /> NEW PMT.# WATER: - PUBLIC PRIVATE <br /> ADJACENT LAND USES 4 X L _Air ' r/�-: a e J <br /> EXISTING ZONING /coo <br /> REQUEST IS FOR —1 ti <br /> * EXISTING USE C' z4.0 <br /> * EXPLAIN PROPOSED USE 77) Se. /4 _ 41 � 4 /� i✓� <br /> '(2)041 % _ e 1 _ S ue,5. �L 4 &2 ) 1>.4=, 1Af.q007.e-- <br /> DEVELOPMENT WILL START TOWN BOARD CONTACTED? YES (./72/40/0 <br /> i I / �` _ _ DATE: 30 ire„ <br /> (Agent - Owner) <br /> PT'N/CUP# <br /> /z� <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />