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APPLICATION INFORMATION 17_._ <br /> PT'N/C.U.P. # T TOWN 1,3 1)t S O T.:› Sec. <br /> OWNER Vvr'G Y FV <br /> AGENT <br /> PARCEL ADDRESS 7 'it 1)s 4 S <br /> PARCEL # 3 -' C) r { ( AREA <br /> - <br /> SUBDIVISION CSM # <br /> ( <br /> %CROPLAND PASTURE OTHER - 1(..,t? S ypT p_17) <br /> If From A-1 Agriculture (Exclusive) , How many acres remain in the A-1 Exclusive Zoning <br /> Lot? --' <br /> Improvements are located on: Original Pc'l. Rezone/Pc'1. What percentage of <br /> improvements are located on rezone/C.U.P. Pc'l. _- <br /> SEWAGE DISPOSAL, PUBLIC , PRIVATE EXISTING <br /> NEW PMT.# _ WATER: - PUBLIC PRIVATE X <br /> ADJACENT LAND USES _ W cCI ` 1 )T A - 1 <br /> EXISTING ZONING -I _ <br /> REQUEST IS FOR <br /> S ► C- <br /> * EXISTING USE / (c> d 6144 <br /> * EXPLAIN PROPOSED USE <br /> DEVELOPMENT WILL START TOWN BOARD CONTACTED? YES X NO <br /> // <br /> IL ie 7 <br /> DATE: ' c 6. <br /> (Agent - Owner) nA Gt/YL <br /> �( PT'N/CUP# <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />