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, PT'N/C.U.P. # --)��J 5—�`� TOWN /4;24,),,,,,q. Sec.. <br /> OWNER ///7`4,,.,�s0A..) �, CD I%N=c zs . Grate. > A;z4 <br /> AGENT —7--A/r l /7nn��2�.;> �j� /'Za.u"-o /27ig-1><.s,,2.✓ <br /> PARCEL ADDRESS <br /> 3i= o 3/—ate- G 7 <br /> PARCEL # AREA �o�SUBDIVISION CSM CSM # <br /> $CROPLAND PASTURE OTHER /2)---;-.0. <br /> If From AA-1 Agriculture (Exclusive) , How many acres remain in the A-1 Exclusive Zoning <br /> Lot? (/ <br /> Improvements are located on: Original Pc'l. 0 Rezone/Pc'l. LD What percentage of <br /> improvements are located on rezone/C.U.P. Pc'l. (2 <br /> SEWAGE DISPOSAL, PUBLIC • PRIVATE — )K EXISTING <br /> NEW PMT.# WATER: - PUBLIC PRIVATE _ <br /> ADJACENT LAND USES e- — /4-471X- /1- ,1/f/ <br /> EXISTING ZONING <br /> REQUEST IS FOR A <br /> * EXISTING USE <br /> * EXPLAIN PROPOSED USE , /- .?-leh4-/-D3-Z� �y' r,-,,.� . .✓ �y-/ �`' �y=� <br /> -/-5(-4-A; <br /> Noy✓- r-� i a4 G- — 1Z �4 ,sue�-� / T�i 1.y} <br /> 7.L G s 7`° U i,�+r2 C�-/r�/ G� � <br /> _,,f�i�/'��.,r- _ ���,//r_^ �- = �i Sri•r� o�'�+-� i,�..'�s d/-��5 _. <br /> lB� . 3/-03 f- 3/-03-Z7 / Yi,44. r7-1.7-7Y /..«Y=7-5�� <br /> DEVELOPMENT/ ILL START /4�0�f' TOWN BOARD CONTACTED? YES NO <br /> fa-v=7g�cn�--- — DATE: /1— <br /> (Agent - Owner) 0-2/d/---4"-:://A--'1e• <br /> PT'N/CUP# �� ��� <br /> #1620- 69 (12/84) Z. PT'N/CUP INFO <br />