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}~PLICATION FO~ ?~VIEW .~\~ }~PROVP~"
1'1astcr Preliminary Plat
/ Prelir(i'1.a.ry. ?lat,
F:L.'1al Plat
':H~ NOTICE: Submission of this application is not complete 'LLYJ.til platting fees
are paid and all requirements of OrdinaYJ.ce Now 690~ Subdivision
RGb.rulations~ have been mete Application process must be 'completed
at least ten. (10) days before a regularly scheduled Planning and
ZonL~g Cor~rrission meeting. .
Please ~~swer all quest,ions fully~
?lease ~print~' o~ type.
, r~xf7~t=- FH~ '1f-\~t=€
1. Name of subdivision
2" Subdivider
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fbXFW - ~e}.l\ ~~I#CN.
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The above is (check one):
v"" Owner'.
.P.ger+t,
3. Licensed surveyo~ or engineer
Name .--J~ .. ~ /'.NP A~?lA.:TE=? I 1Nc--
Address, 15~... WaGH <S?W$T J ~~t3 c;;77A~ / ~..
.Phone No.. 0~8'- ~_2f0.
4.' Specific location of proposed subdivision ~~ lV) -fVle ~~cayvfhevG .
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~ &x:.f1 ("e' . Fh~ ?1(1e" \
~V\ t~~ ~d-.
5. P,equested "variances
to Ord~~ance.Now 690~
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6. The undersib~ed h0~eby rGq~ests approval by the City of CO~~0ze Station of
above.identif~ed p~ t~
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Si271at,ur
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Tit,le
Da:ce
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