HomeMy WebLinkAboutFinal Approval
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J1P~'1,IC'::ITION FOR FW.AL i.<?"EO~t~L OF PL!1T OR ,REPL:.T OF PEOPC,;;:F.D BUB-
DIVISI.ON OR RESUBDlv"lsrbfoF"--LJiND V1ITHIN THE TERRITORIiiL JUBISDICTION
OF THE TO Wl~ OF C..iRMEL PL~~, COMJ.VllSSI01{~
N~me at iJpplicant Tel.U~5~_
.LIdo,res s~ u__-..,.:-'--___
(I, ~vE) heTsby apply for e certificate pf final approvBl of the
following described subdivision or restibcHvislon, in 9ccoro~mce with
the ppovlsians of the Master Plan. (I, l"e) (am, are) the (ol,\fner,
owners, duly authoriz'ed agents or trustees' for the owner o,r owners)
of the real 6s,:tat'8 .includ,'ed in seld subo1vision or re2ubdivislon.
i.re8 in aCl"'6s_.1 0 '_No. of lo.ts 2f Length tn mlle-e~bfnew
streets to lIe d eel ica tea to public. 'us'e ' , d 7 .' .
-", ( FUll Wid t'h,
(Half' WIdth)
Na~ jJf R9j~stere, d Eng,',1,"n,.'e.e,~" ,lo,r, SU,',l"V6YOr Wh,O pre~~,rr,3t16' Plat~,' ,",' ,
_~. , Telt.c/l:6.)!.-L(dS Add ress.3l.J.d'~ tL~~..t'...c~ '
STilTE OF INDIANA',. HAMILTON COUNTY, 58:
The undersigned, having been duly sworni' upon oath 88YS ,that
;~~ ~:~r:v~~~ormetlon 1. true~:U:~s he 1s infOrmed.
Slgnature Oft"'~+
~~:LL
Tlt~.Applic8nt
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S\:lbs'crlbed and 8'-'IOrn to befe.'ri6-me t:qlfj:.......~~~t~_(lr:ly of.'Augus.t
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196..2..-
C:?fJ4~'a-, /,&'cL~ CfJw~~_
4~tary P\{I,b11c '
My commission expires:
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A FEE., dORRESPONBING WITH THE SC.ALE 8HO'tlN BELOW. AND TO BE PAID TO THE
T01~ OF CilRMEL PL~N COM:tJiISSIOl1, MUST hCCOMFANY THIS ~PPLICilTION FOR
FINilL PLAT APPROV.AL:
__________For Bubdl vision or re8ub~ of not' more than 10 lots
_____For eAch additional lot up to 50 lots.
~____For each ~ddit1onal lot Over 50 lots.