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✓ APPLICATION INFORMATION g(L) MAY- <br /> +fir TOWN Sec <br /> PT'N/C.U.P. # lb �f� Sec. I S <br /> OWNER \ , k cn t-fir <br /> AGENT <br /> PARCEL ADDRESS ( cP4 J (2ç4 Ur) es,a P-1 <br /> PARCEL # S l a-- 3 J t t AREA �� ± <br /> SUBDIVISION ffk_ ( ('S CSM # <br /> %CROPLAND PASTURE OTHER <br /> If From A-1 Agriculture (Exclusive) , How many acres remain in the A-1 Exclusive Zoning <br /> Lot? c� <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. _`E) <br /> SEWAGE DISPOSAL, PUBLIC PRIVATE 1� EXISTING X <br /> NEW PMT.# WATER: - PUBLIC PRIVATE ec <br /> ADJACENT LAND USES _ J faq J ) P - ` F ft - 3 <br /> EXISTING ZONING <br /> REQUEST IS FOR <br /> R-3 <br /> •* EXISTING USE ' <br /> u <br /> * EXPLAIN PROPOSED USE .�1�---e-��- �--Q q p <br /> ,�► � � � , <br /> L <br /> DEVELOPMENT WILL START TOWN BOARD CONTACTED? YES NO '\ <br /> _ DATE: y - j / - <br /> - Ow er) <br /> PT'N/CUP# 3 E a <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />