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. APPLICATION INFORMATION CI- Iv7-- <br /> -gB'<f: TOWN �Q)t■.) Sec. IS' <br /> OWNER <br /> M Y ,Y �o1-+. - ---- --- — <br /> AGENT C W\INVZ-- 0 IQ _ - <br /> PARCEL ADDRESS (c.5 3 1 \-4W'17,c0N) <br /> PARCEL # \A- iJ V AREA 21 <br /> � � <br /> SUBDIVISION j�i � !� � i ►. � �, 4,r441 R4 CSM .1 161 RI�____►jj, <br /> %sCROPLANDb PASTURE OTHER i i - - E.DS f- 0 IP - 1 0/� <br /> If From A-1 Agriculture (Exclusive) , How many acres remain in the A- Exclusive Z. ng <br /> Lot? 2 to f <br /> Improvements are located on: Original Pc'l. Rezone/Pc'l. X What percentage of <br /> improvements are located on rezone/C.U.P. Pc'l. ab ! 0 <br /> SEWAGE DISPOSAL, PUBLIC PRIVATE EXISTING x <br /> NEW PMT.# WATER: - PUBLIC PRIVATE Y <br /> ADJACENT LAND USES VAC 1 4 Q1-- il - I ( <br /> EXISTING ZONING - 1 @,(1 <br /> J ,, <br /> REQUEST IS FOR \_\ ..- 4A <br /> * EXISTING USE 114 C/¢ it? T_ /e --,6E/V C 4= <br /> * EXPLAIN PROPOSED USE _g4": 5 -T-04'01J is -�^4" L u_r? 1 c.f5 <br /> DEVELO' ,, . WILL START Fs( (g ' TOWN BOARD CONTACTED? YES NO X <br /> 41/7., - s , DATE: '7., i/._ 8 6 <br /> sent - Owner) <br /> PT'N/CUP# <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />