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• <br /> / APPLICATION INFORMATION <br /> LAIL/ <br /> PT'N/C.U.P. # /S V TOWN l' 641/P Sec. Z <br /> OWNER ,f71 V, 7- \1 ilt <br /> AGENT SJ4/1I //?(/ <br /> PARCEL ADDRESS `/ r C c26, ,i)2 <br /> PARCEL # Z62 -29- (00 AREA AC/Z <br /> SUBDIVISION Z27 (..S,/+1, CSM # <br /> %CROPLAND % PASTURE OTHER aS �, / L S1ve,/CL <br /> If From A-1 Agriculture (Exclusive) , How many acres remain in the A-1 Exclusive Zoning <br /> Lot? � f <br /> Improvements are located on: Original Pc'1. /Rezone/Pc'1./ %',What percentage of <br /> improvements are located on rezone/C.U.P. Pc'1. <br /> SEWAGE DISPOSAL, PUBLIC PRIVATE ,/ EXISTING <br /> NEW PMT.# `` WATER: - PUBLIC _ PRIVATE / <br /> ADJACENT LAND USES A -/ (�)e> <br /> EXISTING ZONING /1-/ (/"^ -) <br /> REQUEST IS FOR ) /f- 2. <br /> * EXISTING USE ( <br /> ey � 3 1 <br /> * EXPLAIN PROPOSED USE 01- a-6-vv-- L,c cf-AV P.u, oad7 <br /> < <-. <br /> DEVELLOTINpNT WILL START TOWN BOARD CONTACTED? YES NO <br /> L, /G' f Le, _ DATE: Q/(4.(.�i l ( (q6, <br /> (Agent er) <br /> PT'NN//CUP# <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />