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APPLICATION
E:OR REVIEW AND APPROVAL OF PRELIMINARY PLAT
1.
Name or identifying. title. of Subdivision
~1Zt:.lAJA'1 PL4~A -- p 1-f4S~ ::L
2.
Subdivider: (if owner i . so state; if agent or other WIle of relationshipt state details
on separate sheet)
,/>I!~l.PSLArNC> ~P/l~pE/L 71ES NO.Z JL r/)~
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I
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Name
Address
Telephone
3.
Licensed surveyor or engineer:
Name
Address'
Telephone
B/l.y,4Nf3N~/NE.e.~/\l~ i
/~64 ~t/I77 ,4,1/...
S-ULV€'I/~6 ..c4Lf!-
4.
Location of proposed Subdivision:
1000 ~+.. W~ST C>~
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T~)(~S"
sov-fh w E..s-r
AVE-NUt€-
PA f<.e. vJ 4 't
5. Easements or other restrictions on property (describe generally): _ W-o...J€. ~J(lsl;'.Yj -
P~f'O~~~l ~s -SH-O\..\Jt--J o~. ~LAr-r
6. Names of abutting ownexs and O\\'Ders directly across adjoining streets (includ.e
those in other cities): .... {~e.e- f?L.A.cTJ
'1. Requested variances. The Planning Commission is requested to author-ize' the
following exceptions to its regulations governing subdiv"isions with tb,e reason (attach.
list of such exceptions with the reason for each set forth):
Ai 0 IoJ r::z.- I
-------- .
8.
The undersigned hereby requests appro
identified subdiv 'ate
by the Plamling Commission of the above
/
._~
--~-~--~---~---~-----~--~---~---------------~------~~---.-~~~-
This will acknowledge receipt of SLo<..~-l dollars ($ __/G;. ~ )~
in payment of the fee for the above requested approval of applicant's prell e/sry plat.
. V/ <;;:--
Date" ~-_..._-_.- Signed
. Title
las/8-12-70
(Carbon to be retained by applicant)