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APPLICATION INFORMATION 5--_"\7._.® <br /> PT'N/C.U.P. # -3 & v TOWN / 1L,E3iC)0 Sec. Z7 <br /> OWNER k" 1C' 3 > ``A '.0 1 -_ -- --- <br /> AGENT [ <br /> PARCEL ADDRESS -3 , IA\Cw Pk`- 3 <br /> PARCEL # Of— V L— 2 6 1 , ,- _ AREA 91 E5 'AC V-11 <br /> 1 <br /> SUBDIVISION � _ CSM # 2e7 1 3 <br /> %CROPLAND 100 PASTURE OTHER <br /> If From A-1 Agriculture (Exclusive) , How many acres remain in the A-1 Exclusive Zoning <br /> Lot? t ± <br /> Improvements are located on: Original Pei. /OD Rezone/Pc'l. ( What percentage of <br /> improvements are located on rezone/C.U.P. Pc'l. D <br /> SEWAGE DISPOSAL, PUBLIC PRIVATE _ X EXISTING <br /> NEW PMT.# WATER: - PUBLIC PRIVATE <br /> ADJACENT LAND USES <br /> } — 16/>0 kAc \-- 1 C— a VPic Al\s- <br /> t- \ \f,01-c_ f-t-- ..\.*...._.. t r2-- 1 <br /> EXISTING ZONING A 50 _ 8 <br /> REQUEST IS FOR 2 <br /> * EXISTING USE (/ C t\i) t <br /> * EXPLAIN PROPOSED USE J V/ ' 4- L`)LE" e!IC' u1S c_25 <br /> Al 62___ EiZ__,.._,___n--(-61._z_e.,....(1_, - <br /> I <br /> DEVE PMENT WILL START TOWN BOARD CONTACTED? YES X NO <br /> X tri.0-0CP61., -e DATE: 9- - 47 ______ <br /> (Agent - Owner) <br /> PT'N/CUP# - BO <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />