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• _5(4 S'a <br /> APPLICATION INFORMATION <br /> PT'N/C.U.P. # — --5B3C) TOWN /4-45>10/1) Sec. v <br /> OWNER 1 fill 0 7771V 2 C O Al 0 Ali <br /> ---._ --— <br /> AGENT 'L�A Ol - / e°143 <br /> PARCEL ADDRESS ,� , C /S5 [ IV <br /> H <br /> ' C� /Z. <br /> PARCEL # c0/— O/ — 327, 1 _ AREA / f <br /> SUBDIVISION ktoFiciTP CSM # k—^ E. E <br /> %CROPLAND/ 7 PASTURE _ OTHER - <br /> If From A-1 Agriculture (Exclusive) , How many acres remain in the A-1 Exclusive Zoning <br /> Lot? `�-8 -±-_ <br /> Improvements are located on: Original Pc'l. Rezone/Pc'l. C/ What percentage of <br /> improvements are located on rezone/C.U.P. Pc'l. 1 <br /> SEWAGE DISPOSAL, PUBLIC _ PRIVATE +21C. EXISTING <br /> NEW PMT.# _ WATER: - PUBLIC PRIVATE A <br /> ADJACENT LAID USES _ \A)C1 Pi vT t (. C ?O Pc, <br /> rPockc CI , e ®Q <br /> EXISTING ZONING L Cr) <br /> REQUEST IS FOR R.- <br /> A ., <br /> �* EXISTING USE -1zo,-?G�r�.. raft, 1/l/0vbGo <br /> EXPLAIN PROPOSED USE _ I//./G 4, , A.?/G _://z7 :t.GF <br /> DEVELOPMENT WILL START �� ( TOWN BOARD CONTACTED? YES NO <br /> / i _ DATE: 1 / — 4 -8 6 <br /> X (Agent - Owner) <br /> PT'N/CUP# <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />