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APPLICATION INFORMATION N w f� Sit 'AI <br /> PT'N/C.U.P. # TOWN /7741 "V"►.a�� Sec. Cf <br /> OWN E R / ;L „,a,, w . <br /> AGENT — <br /> PARCEL ADDRESS — yr—s t /K24 TH.21.1-`-' .>^J <br /> PARCEL # l7 7 `- /.7-2, / AREA <br /> SUBDIVISION CSM # <br /> %CROPLAND PASTURE OTHER <br /> If From A-1 Agriculture (Exclusive) , How many acres remain in the A-1 Exclusive Zoning <br /> Lot? 22 <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'1. /& ? <br /> SEWAGE DISPOSAL, PUBLIC • PRIVATE _2c— EXISTING <br /> NEW PMT.# WATER: - PUBLIC PRIVATE x <br /> ADJACENT LAND USES _Sih, I t �� �5 — <br /> EXISTING ZONING /C7-- ! . <br /> REQUEST IS FOR <br /> * EXISTING USE X=3:2,1.% 7/ <br /> * EXPLAIN PROPOSED USE <br /> DEVELOPMENT WILL START /744-S �K�ir TOWN BOARD CONTACTED? YES )( NO <br />• <br /> 4i-,r. 1 If,---1-6Q_(J0 _ DATE: //— <br /> (Agent Owner) <br /> PT'N/CUP# <br /> #1620-69 (12/84) Z. PT'N/CUP INFO <br />