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APPLICATION
.
FOR REVIEW AND APPROVAL OF PRELIMINARY PLAT
1. Name or identifying title, of Subdivision . 50 lJ T: .., 'WO 0 D ~ A \-. L-~ '/ s e.C,.. f (p B
2. Subdivider: (if owner, so state; if agent or other. type of relationship, state details
on separate sheet)
Name sOUTt-\woG?D v~'-\.-e.\1 \VJe
Addreas'2- I 0 PJ ~~ yt.l-l W 00 ~ Qf'(\J ~ C"'. S II
Te~ephone tD. q "3 - q , I ()
3. Licensed surveyor or engineer:
Name D f\\J \ n .M i~ '/ t)
Address 2,..) 0 P, SQu r~w C? 0 n Dfa \" s:. C, <:; ·
Telephone ~ , ~ - ~3 7 '8
4. Location of proposed Subdivision: . A CtJ Ace t\J ., ,- o. t t4 " ~ ,- ~.
o c SO~-rHwoCJ n \J A L~ce..'f ~~c..T: G, A
5. Easeme.nts or other restrictions on property (describe genel.al1y): V'lI," ~ ~ E- P L A T
6.
Names of abutting owners and ~wners directly across adjoining streets (include'
those in other cities): 1 S lS. E. Pt- PT '\
7.
Requested variances. The Planning Commission is requested to authorize the
following exceptions to its regulations governing subdivisions with the reason (attach
list of such exceptions with the reason for each set forth):
. I
8.
The undersigned hereby requests approval by the Planning Commission of the above
identified SubdiVi~. . ,... .
Signature J
Title P e-.e..s I I? ~~ r
Date "a::- e ~ . 1 q 7 L
yo- -
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This \viII acknowledge receipt of dollars ($ )-.-
in payment of the fee for. the above requested approval of applicant's preliminary plat.
Date
Signed 1
Title
1~s;l.s-12-10
(Carbon to be retained by applicant)