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APPLICATION INFORMATION n <br /> PT'N/C.U.P. # 3(V lam' TOWN Nvigil? Sec. ' I <br /> OWNER 1....67-0A/ 4. 0/Y- 616 — - "'_• — <br /> AGENT TV/ toth45OLV..c p <br /> PARCEL ADDRESS 7r j /4.- Cf1M 21 <br /> PARCEL # /3-0 - Ze,3 AREA z.3 Ac, <br /> SUBDIVISION t /, /3-0-2.65"-- YAW <br /> # — <br /> %CROPLAND PASTURE OTHER _Q(�o a&(.%/JY&S r P1l4i� /YAW <br /> If From A-1 Agriculture (Exclusive) , How many acres remain in the A-1 Exclusive Zoning <br /> Lot? j�o f 77.6 6 -/ S P% T vie" /4 6 4,elo',e F.4e_frI <br /> Improvements are located on: Original Pc'l. Rezone/Pc'l. 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 / <br /> 4. <br /> ADJACENT LAND USES ( -/ 1 A-/ a-x) <br /> EXISTING ZONING 6- / _ <br /> it <br /> REQUEST IS FOR /4 -1 o -.._- <br /> * EXISTING USE -- /)-c. ,r� `'/ O c�LL �t p <br /> + �= <br /> * EXPLAIN PROPOSED USE -4 Cf alzusdaj <br /> DEVELOPME T WILL START TOWN BOARD CONTACTED? YES NO <br /> .�J,t0L/J-G�C�1- rI .. v:// • _ DATE: 5d....71 f1 I / 9 7 <br /> Age t - Owne;) <br /> PT'N/CUP# ar <br /> #1620- 69 (12/84) Z. PT'N/CUP INFO <br />