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AL PPLICA TION
fQ~ REVIEW AND APPROVAL OF PRELIMINARY PLAT
1.
Name or identifying title of Subdivision
~U.lA..J ~
\.
~~2~ - ~\-\ASE.. (,
2. Subdivider: ( if owner t so state; if agent or other type of relationship, state details
on separate sheet)
Name J~E-C:S c~ ~",^lT\f
Address ~t'>oo -r~:A:A-S A1J~NUE
Telephone
3.
Licensed surveyor or engineer:
Name -1~ "BtHt-Of ~
Address ...... (604 {)Je.LS;l+
Telephone h~3 - 42-/'
4SS0C.i A--r1€.S
Sf.
4.
Location of proposed Subdivision: AbhJi
wes-\: "'~ 1?1~ ...."T"W 00 J \)11.. \.\.1 IC.....
I s-o No i'L-~
5. Easements or other restrictions on property (describe generally): ~ ~ S l.J-ol.v~~
WES'T S{oe... o~ T€I<fl\-5 Aue~vc.
( t...J eft:. It.. se c.:,/ ( OtV A-r-'O':; 1<: TEN Ol r-J]
6. Names of abutting owners and owners directly across adjoining streets (include
those in other cities): A-s. S\k1WN ON pLAT
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): IV ON ~
8. The undersigned hereby requests approval by the Planning Commission of the above
identified subdivision plat..
Signature
Title
Dat~ ~~!'~ -- /,:/7._
------~----~~-----------~-------------------~----~-~---------
This will acknowledge receipt of 7:w ~,.;-ry-bNe. ~o ,c1&7J ~ dollars ($ 2/ ~ ~
in payment of the fee for the above requested approval of applicant's preliminary plat.
Date
Signed
Title
las/8-12-70
(Carbon to be retained by applicant)