HomeMy WebLinkAboutPreliminary Approval
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PLAN CO}JT1USSION
.AAPPLIGii-,TION-.. FO.1 ~ID:JMlll.~~-~-E~~;;EO:V~L O"F P'L.~.jT O':t REPL.i~2 OF P')R.QP'O;SED
SUBDIVISION, OR RE8UBDlVISTON, OF LJi::JD WITHIN THZ1'EFRITJf.~,i'n~ .flJRI'S-
nl~ION OF THE TOWN OF ~fUV'..:EL PL..~N COMMISSION.
N,ame of Applicant
Ada re,S S
I (WE) hereby apply fer pre11min.ery approval of the following
described subdivision (or resubciivision) in aocordance witb the pro-
v1e1ons of th,e Mester Plan. I (We) am (are) the, owner (owners" the
duly author1zeo agents or trusts,eS for the owner or Owners) of the
re~l eet~te incluc3ed in sf-id $1.1bdiv,1Eon or t'esubd1v1sion.
Re.~~~~_~_
ve boundaries 'br'1.efly, lje{Ifig'nam'es'cfrst's; streams, major
/i/" 1 ~d ;'1nes, ehP.) - L1 f
~a~~~~-~----'T3~~;.t: . ,------~---~-...,
Name of '!'owpsh1p Clay ~Sect 1o~#, .10 TO\ftnshlP#L.t.K._Rangelf fE,
D.. ime.ns 10. n~ 0 f Subd 1 vi 81 oo/.J<<..JlI12it.tJ~5 ~pR~4:'-. lh.-.lL.5".l. . ~o(,3
.Area (in 8C.l'es)____J~. .' . ...Tentatfve nOIof; ,lots_~_
Miles or fractions there~fofnew st'reets to be dedicated to tli';r-
pubHo . . ~'&Ull Wid!;,,] .' .' (Helf '111dth~~~ / I
~e.me. of r.eg.1S.ter'ed enl3.1neel".orsu;... veJl,P)I_~~"p.rlh!'! Pletl~. .~.
Engineer's llddress.'5I.3 ::I-~7~f3~~, _Te1..J:L~~~L
STATE OF IN:bI4N~, H~ ILT ON /JOUNT.Y. sa:
Name of S
Locatoion
The: UIJ,C! ere 19ned. he V If:l'g be en .qul Y s,worn, upon 0 ath says th at
above 1nformation 18 true Anq correct ~s he ~s In:f'orm.ed snC!
beHevee. ~
~. .... ..'~Gl </1~~"
19nature of Appl1.cant -
. /#tirite~ "ppl1oent
the
Subscribed .ana sworn to 'before me this ~..tb' d9Y of .Tu1''Y 19--60 ,
-~~~- ~~'-~~~~~-
Not1'1ry Pu~ic
My Commiss1on Exp1 re E':
1i9't~mbe.r: .J~.it6.Q..__. . ,_
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.J4FEE OF ~ 2. ~ I .~ 0 T OB-E P ~ID TO THE TO WN OF' G,4RJ.VlELPL4lli
COMMISSION MU ST kCCOMP:ANYTHIS APP,LIC~TION.