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APPLIC~TlON 'f-l~l,R
FOR REVIEW AND APPROVAL ()F PR'E"'f;~LArf
W'" ..1. 1ll . .. . ~. "'l"
I'.
Name or identifying title or Subdivision _---'0-
2. Subdivider: (if owner! so state; if agent or other type of relationship,. state details
on separate sheet ) '"
Name
Address
Telephone ,
3. Licensed surveyor or engi...neer:
. *:~:::n~:~ ~~~i~51:z~~" ~<:~~_ ?R~~ h-
4. Location of proposed Subdivision: ~ ~7 t) ~ ;?:,,~.c c..A- ~. ;Z ~ C.K 75
.. Qv~/J~//+.c. V~.?~~ C,.hL~~e:. <57-11'~e~F ?:,",A-
5.
Easements or other restrictions on property (describe generally}:,~ ' $.b"~'J>"'.-c
~/.~C;- pt'//Y'o ~ ~ 07>/;, '7;;;r /?//.5t.! ....."c~;::r . ' '~_.: ~.-=
Names of abutting owners and owners directly across adjoining streets(inclus:1e.__.c.________
those.ill other .cities): ,4~,./' z,~
6.
'':
7. Requested variances. The Planning Commission is requested to authorize the
following exceptions to its regulations governing subdivisions with the reason (attach
list of such exceptions with the reason for each setforth):
.A.
8. The undersigned hereby requests approval by the Planning Commission of the above
identified subdiviaio plat.
Signa
Title
Date
-- -.~
//'-
----------------------------7-----...----....---------------------
This will acknowledge receipt of -1_ . dollar s ($ __ . . ) ..
in payment of the fee for the above requested approval of applicant's preliminary p!;;rt
Date
Ias/S-12-70,
(Carbon to be retained by applicant )