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APPLICATION INFORMATION <br /> PT'N/C.U.P. # S (� TOWN nn Sec. <br /> OWNER fAE /C 3,0WALs - ---- <br /> AGENT S/4-ML — <br /> PARCEL ADDRESS /toe_ <br /> PARCEL # / -i /- 2 q3 7, — AREA D, S/14C4CS <br /> SUBDIVISION �/�e[ Q/- Lai 3 gie Z Tic gAlegbe rcSM # <br /> %CROPLAND PASTURE OTHER — <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'l. What percentage of <br /> improvements are located on rezone/C.U.P. Pc'1. /Gt.2 <br /> SEWAGE DISPOSAL, PUBLIC � PRIVATE EXISTING <br /> NEW PMT.# WATER: - PUBLIC - PRIVATE <br /> ADJACENT LAND USES G-/ / 6- <br /> EXISTING ZONING - <br /> REQUEST IS FOR G-- Z w/T/t G•11 / F�/Z /S%%//6 ,eks911//et fA/ C•-/ o "6-� <br /> * EXISTING USE Pt S r h NCE <br /> * EXPLAIN PROPOSED USE P/Z,0 risf Q r,+SF /S i!/L lit 5J_)LC 0-P TW F l v (a) (4.31-D <br /> p <br /> — nr),164. vaticti--5 r� Pnrdp,rr +AP oseb Cd fb l J(SS Ja L 118 E. BJ f/z koct <br /> AL-Su TO ThA A;,, 4AF iluosc As tri j firstievcr _ran 2E (wrs <br /> Use pF(,.N,± o hn1_ E� IPA 0156 t7( CZ oft C-�.. <br /> DEVELOP. T W L ST RT A,s A,F TOWN BOARD CONTACTED? YES NO <br /> • _ _ <br /> DATE: Nov. 1.04-.k �$C <br /> (Agent/ Owner) <br /> PT'N/CUP# 3 9/s Y' <br /> #1620- 69 (12/84) Z. PT'N/CUP INFO <br />