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APPLICATION INFORMATION <br /> PT'N/C.U.P. # _ 3 'F( TOWN /.44c4. &aim' Sec. ZC:i <br /> OWNER l LG Le l/ ice/s in(l_ O'v — ----— <br /> ' ( �3c x 4 /(j74- i5 's s-`,-r22- <br /> PARCEL ADDRESS /Q ' 44 Frfscorru r:_ c. <br /> PARCEL # er3c—29— 05 f r E AREA 2 15 f4 <br /> SUBDIVISION --I-`�-E..J s `s CSM # •\--- , , LJt <br /> %CROPLAND PASTURE / /OTHER <br /> If From A-1 Agriculture (Excclusive) , How many acres remain in the A-1 Exclusive Zoning <br /> Lot? <br /> Improvements are located on: Original Pc'1. ) Rezone/Pc'l. 0 What percentage of <br /> improvements are located on rezone/C.U.P. Pc'1. d <br /> SEWAGE DISPOSAL, PUBLIC _ PRIVATE 5( EXISTING )( <br /> NEW PMT.# WATER: - PUBLIC + PRIVATE <br /> ADJACENT LAND USES - IT 4- 1 <br /> (scic) )im' c . <br /> EXISTING ZONING /4—l 7K) _ <br /> REQUEST IS FOR <br /> p_ ii- „ <br /> * EXISTING USE I'7 c—4..,..." <br /> /* EXPLAIN PROPOSED USE _ --y��- - !1.Z. 2 . % 1t.� . � �e/ <br /> ../--- DEVEL•°MENT WILL START c f' JC�l QS 201/‘f TOWN BOARD CONTACTED? YES c/NO <br /> /5 W�-ry >DATE: E <br /> . <br /> / •ge,J - Owner) <br /> PT'N/CUP# <br />