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DATE
MASTER PRELl M INARY PLAT
APPLICATION FOR REVIEW AND APPROVAL
V
PRELIMINARY PL/AT
SUBMISSION OF THIS APPLICATION IS NOr COMPLETE UNTIL PLATTING FEES ARE PAID AND ALL
REQUIREMENTS OF ORDINANCE NO. 690, SUBDIVISION REGULATIONS, HAVE BEEN MET.
MINIMUM REQUIREMENTS:
1 . F i ] 'n g fee: $ 1 0 . 0 0 per p 1 at p 1 us $ 0 . 2 5 per lot ; ,or $ 2 . 0 0 per acre for mul tip 1 e
dwell lngareas, commerci.al ,and/or Industrial districts and other
areas not subdIvided" into lots. (Payable at Tax Office; receipt
to accompany application.
2. ApplIcation completed fnfu1l.
3. Ten (10) copies of Plat plus sepia of same drawn toa scale of not less than
100 feet per inch. The words ",tpRELIMINARYPLAT- NOT FORRECORD" shall appear
on the plat in letters 1/2" high. Date of plat and dates of any revisions shall
leglblyappea"r on plat.
DEADLINE: Recefved in Planning Department 20daysprlor,to Planning and' Zoning
Commission (P&Z) meeting. ReguJarmeetings held first and th"ird
Thursdays of each month.
PLEASE PRINT OR TYPE.
NAME OF SUBDIVI SION Grb&;IJI-JAVErU B~TATe'5l PWb5Ef ~
OWNER BIU)1t6l4,nd~p~1't€S,:Il.:i:AGENT ~t c,.MGQUbl oe
ADDRESS MO:O ~u1(,.f<rx..A'()e. ADDRESS (SAMe)
15~~~9rxi.~~}ib]
%W~, - 0'" ot,
(5AlYl.B)
LI CENSED SURVEYOR OR ENG I NEE R ~12Jv'/l)~. (2.~ ~ l (fY2.... .
p..~'Uf r ~.CO'. .'
ADDRESS ..--fet .=3. .f1>o)(4-$"'7 r ftOA/(b\'1 {T*. .,71 ffD ~
PHONE. . 5g'4- ;)..t.J;s-rl
SPECIFIC LOCATION OF PROPOSEDSUBDIV.ISIONMI2/TJt aTUJBft.-I'::Pdlf:t:to~ [;Kl.
cwa.~Iet4httU6Y\ Df1;tUeJ · ---AM Of\,c/ Cb t- de -- Sa.6c-a-lled
0Py"rry~ve0a~
PHONE
PHONE
REQUESTED VARIANCES TO ORDINANCE NO. 690
AJ171e
THE UNDERSIGNED HEREBY
IDENTIFIED PLAT:
STATION OF THE ABOVE
Title
~u{
'\lice · - Pr.e$tf)eD--r
Date 4,18 liS-
Rev.8./84