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APPLICATION
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FOR REVIEW AND APPROVAL OF RE8IfBDI!ISIG-N-PLAT-.,!~
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2.
Name or identifying title. of Subdivision ~ (.i/<t.~ .. ~~f"'"
Subdivider: '( if owner! so state; if agent or other we of relationship', state details
on separate' sheet)
Name ..~1tcpL&J:iui e-r~f ~U~~~. 04-#
Address 31'7"3 5/ C (,0,Jl"~,~ ,', ~,~~# (} /~ /.~~/., ,', ':I~~ ~/~~ 7r;~/V
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Te~ephone :;2. I 'I ?.;;tl -. '" ,~
1.
3.
Licensed surveyor or engineer:
Name
Address ,{,
· Telephone ~,~7 ,- I, J,"-lL?
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4.
Location of proposed Subdivision:
5. Easements or other restrictions on property (describe generally): _to' l[l t LJ r t.
',e d. S 13 Tte,lg:r/tJ LiJ'Ts) .': ~. ~3
6. Names of abutting owners and owners directly across adjoining str;eets (jp.Ql~q~,___,._..___..____.._,_..,..---c_c-_~~:-"~,,~
those in other cities ): ~'L
'1. Requested variances. The Planning Commission is requested to authorize' the
following exceptIons to its regulations governing subdivisions with the ~eason ,(attach
list of such exceptions \vith the reason for each set forth):
A"
8. The undersigned hereby requests approval by the Planning Commission of the above
identified subdivision plat.
Signature _~?'<'A L, ~ ftJl ~ A~
Title ~~V
Date . ~/ ~~/7~ _ . _ _ . .
/T
----~------~--~-------------------------~----------~---------
This will acknowlerlge receipt of .:r~~).\1"! f\ \Ie:: ... · dollars ($ -l,~. ~)
in payment of the fee for the above requested approval of applicantt s preliminary plat.
Date .s ,.-t a ' 1 "
Signed
Title
las/8-12-70 .
(Carbon to be retained by applicant)