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APPLICATION
FOR REVIEW P~D APPROVAL OF FINAL PLAT
1. Name or identifying title of Subdivision:~ ~ ~~~ ..~ TujO.
2. Subdivider: (if owner, so state; if agent or other type of relationship, state
details on separate sheet)
Name
~c GDr:2..'-( .. ~&2V&'1
(o~'-'=~)
Address c.oL-~~~ ~~-rlO"- j
Telephone
3. Licensed surveyor or engineer:
.
Name ~~ ~lUeetz.'~ ~ ~(JGaltS-(t~ ~R
Address \~ t1Je~w ~L"t:>. CL>~ ~1"A-rf.O~
Telephone ~?>- 4'2. \G,.
4.
Location of proposed Subdivision:
~e-
PlA\
5. Easements or other restrictions on property (describe generally): ~ ~1r
6. Names of abutting owners and owners directly across adjoining streets (include
those in other cities): ~ ~,...
7. Requested variances. The Planning Commission is requested to authorize the foll-
owing exceptions to its regulations governing subdivisions with the reason (attach
list of such exceptions with the reason for each set forth): ~~
Signature
Title
Date
Commission of the above
s.
T~e undersigned hereby
identified subdivision
------~-~~~~~~~~~~~--~~~~---- ~~~~~~~~~~~--~~~~--~~--~~~~-~~~~~-~~~~~~-~-~~~~~~---~~~--
This will acknowledge rceipt of dollars ($
in payment of the fee for the above requested approval of applicant's final plat.
Date
Signed
Title -
(Carbon to be retained by applicant)