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APPLICATION
FOR REYIEW AND'APPROVAL OF PRELIMINARY PLAT
1. Name or identifying title. of Subdivision . ;=; Q u 'TJ::l ~ () QJ^) V . ~ 1-'- E Y ~ :i ~T: <0
2. Subdivider: (if owner I so state; if agent or other type of relationsbip's~ . state details
on separate sheet)
Name _<Go VT i-l.~Oo.t2 V A.~lJ .~y
Address 7..- I q f3 S~ UT HI. tA-'. tJO f) $}. \2-
Te'~ephone (0 q a -- ~ N d (')
I i~ C.
c. ~.~
3. Licensed surveyor or engineer:
Name
Address
Telephone
Q (~ \? I D ,t\.:4 Pr Y' ()
2-IOe Sou-ri41~t)19D -LDt:4
{~ q?;, . 3.. ~? ~
C,S
4. Location of proposed Subdivision: . ~ n ~ J'~ 11 . 0 f ~O ~ T HcJU () 0 D \J t t_ k ~ 'It
~ ~('-T,. ~7 .> ~ 0 eT j'-f rJ 'f ~o \J ~r H waf:'- Q 'r~e.~fl c e-- ~ 2:-~'T: ~r
:f i.(J E ~ 'J;".'..-,f so, V T li~~C) 0 \) A- L (. ~ Y- . _ <'i. ~C T 1- ~
5. Easements .or other restrictions on property (describe generally): ,S 1-1 0 W l..l
00 P L ~T
6. Names of abutting owners and owners directly across adjoining. streets finclud.e-----..----~~
those in other cities): S" L2 T i..J iO P C7 D V .f\ t~ L- e Y' *' F5 ~ ~A__
~ J. 'l l.
'1. Requested variances. The Planning Commission is requested to authorIze the
following exceptions to its regulations governing subdivisions with th{:~reason (attach'
list of such exceptions with the reason for each set forth): ~ 0. t.J E
8. The undersigned hereby requests approval by the Planning Commission of the above
identified SubdiVi8i~. t. .... .... .
Signature ~.;;tiL
Title 1?(2-~5( P&'" 'T
Date. I D 1-, ('7 .~
-.... ... -.... - - .. - - - - .. - ... - - - - - - - .. - .. - - - - - - - - - - - - - - - - - - - .. - - - - - - _. - - - -.- -. -.. -
This ,viII acknowledge receipt of dollars ($ ~ )___
in payment of the fee for the above requested approval of applicant's preliminary plat.
Date
Signed r./
Title
",.,~_....'l
. las/8-12-70
(Carbon to be retained by applicant)