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APPLICATION INFORMATION <br /> PT'N/C.U.P. # ev4, TOWN Vr2 ,,,_10 Sec. 141 23 <br /> OWNER ?– t�,�-- – ---- ---- <br /> AGENT CJP3 1LU V� d►v <br /> c n 2 <br /> PARCEL ADDRESS t� (mot' �4 v J('2 S-3 7 <br /> /j 1 �A � <br /> PARCEL # i _ � (p f :s "' <br /> SUBDIVISION 1041L n`Sr <br /> %CROPLAND 1S PASTURE OTHER is- V " s,-1 w ` <br /> If From A-1 Agriculture (Exclusive) , How many acres remain oning <br /> Lot? C9 <br /> Improvements are located on: Original Pc'l. Rezone/Pc'1. 4:2) What percentage of <br /> improvements are located on rezone/C.U.P. Pc'l. f +i\lam• <br /> SEWAGE DISPOSAL, PUBLIC _ PRIVATE _ EXISTING (\(o )Q <br /> NEW PMT.# WATER: - PUBLIC _ PRIVATE O`V <br /> ADJACENT LAND USES — T --2 P-3 VA-CO-10- <br /> 4 <br /> EXISTING ZONING /4 - kas,) <br /> �REQUEST IS FOR / > <br /> * EXISTING USE /Z J C 4(/ , cipor t r i 'SA/ <br /> * EXPLAIN PROPOSED USE _De v /Q Jf_ ■✓ TU ,4 c.?e ,/n2C-e LS <br /> DEVELO N LL START 45,11-46) TOWN BOARD C NTACTED? YES x NO <br /> _-1' v T _ DATE: ( /1 /!/ <br /> (Agent - Owner) <br /> PT'N/CUP# 3 '&KJ <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />