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I ' /1/3-6 A PPLICATION INFORMATION <br /> PT'N/C.U.P. # 3 7 4/ TOWN o/V ,'5 Sec. 3 S14,":S11✓ <br /> OWNER j'a y//v �a wL�y /3 �rS 7Y/415 J , a1/'R 5 3.)---7 3 <br /> AGENT Ly/'7/j/V /9/;--.0e f? So/1i S c-'>0 /So/Z /S7// 3 / F3 7S (/ti/o'1-- .(7 <br /> /I s3sTS <br /> PARCEL ADDRESS / 36-5- /)//ii St - "U/-D <br /> PARCEL # 26-0 3'6S' 2 AREA 3( 5 ± Ace E S <br /> SUBDIVISION // CSM # A)y- Loy 2 �5" 6-3 <br /> %CROPLAND PASTURE -_ OTHER ! dd7a !) N <br /> 5 E- c f <br /> If From A-1 Agriculture (Exclusive) , How many acres remain in the A-1 Exclusive Zoning <br /> Lot? r—� <br /> Improvements are located on: Original Pc'l. /°`'lp Rezone/Pc'l. What percentage of <br /> improvements are located on rezone/C.U.P. Pc'l. /0c7_770 <br /> SEWAGE DISPOSAL, PUBLIC PRIVATE EXISTING <br /> NEW PMT.# WATER: - PUBLIC PRIVATE <br /> ADJACENT LAND USES /V- S F� <br /> /� �-2 /4(./7o ntPA-//? <br /> EXISTING ZONING �1�'-/ <br /> REQUEST IS FOR - /9 - <br /> * EXISTING USE S/N6-LT—ri4IM/2y /1)E5-%,OE4'c <br /> * EXPLAIN PROPOSED USE S V V- - � 64,1/Le!) (76_,VVI„141 <br /> DEVELOPMENT WILL START TOWN BOARD CONTACTED? YES NO <br /> '57-LA,N44&aAA --- -- DATE: 3 1 q BSf <br /> (A ent - Owner) <br /> PT'N/CUP# V 4////31‘ <br /> 31‘ <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />