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PIJ/~N COJYf)H SSTON
a APPLIC,ATIOn. F03 PRELn1:21.~tiu A??:ROVJ~L OF PLAT OR REPL.A~C OF FROPOS~D.
SUBDIVISION. ORI{ESUBDIV1SION:OFL&1~~D WITHIN THE 1'EFRITJF.:t:I.. Ju~IS-
nrar ION OF THE TO WN OF CJ.RMEL PL1~N COMM'ISS'ION..
. Nam.e of JipPl ic,9ht....-2ohh E~~_____-'T'el. CL 1-9~~L~
Add res s 521..'1 'WiIlth;.rnp- A Vp.Illle ,.lnAia.:o.a.pn 1; Q 7(\ C".Jf;..ir",,) .I.tiilla.~____,__
I (:NE) hereby apply for pre11minary appro v131 ef the following
described subc:H vis10n (or resub6i vislon) in acc'oP08nce with the pro....
visions of tpe Mast 61'" Plan. I (~) am ("~) the owner (o,"mers ~ the
duly authorized agenta or trust 668 for the oWner or Owne,rs) of the
reAl estAte includea in 8aid 8ubd1v1eon or reeu:bdlvlsion.
Name of Subdiv1sion or ReeubCllvlsion G0011.M~:adows Addition
Locat1on Adjacent to State Road 234. .bour1,~d Q,nwest py l'IJo,pon RillTr'O~7Ii'(jFfhweBt
. (Give boqndaries bMefly, using nameS ofstSostreems, ma.jor .
land 11nes, etc.)
~ Cool Cr~~k,. 3J.~ mil~ .f'.a..s.LaJ State Roan 11
-- .~ .'. . . ----~~------ , ..~~ ~-
Name of Township Clay Section tr.._ 25__T'ownshiP # 18 _R~ngeff 3
Dimenslons of Subd lv1919n . E?99.l] x 'f9i):b7 -.1523.2'8 x 147.!Zt()~.___ .'
Area (in R cres ) 44. 3 . T ent.at 1 ve no... o'flot 813~ .
Mile.s or fractions-thereOf of new-str;ete to be, dedicated to the /' ~-
pub11 c ~ mil~T1:""\""______ 7---.,----r . ...
~ lfllll!iv'1dtl1:J \HCll f Width I
Name of reglst,er'ed engineer or surveyor prepa,rlng plat: Thomas C. Conley
Engineer' 8 ACldresB__--..Y723 t-J. Ewing qt:ree~.:..-__ . Tel.... CL_1-8761
Ma don .
STi!TE OF INDI4J:Il., :HJ.J{~1 boUNTY~SS: .
__~-..-o--_.--.---_--"""--
$ubscr1beo and sworn to before me
this. 8th ____o::)y of}~~ovember 19~
/fl1_",. 'eM' . ~ '"
---L!~ ~~ __ t,AJ~~__
Notary Public
Margie Louise Harris
, "" r ,
/ 'M{"CO'!JlID:~ssiOrl Exptres:
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.A .FEi':b~ $ 43. ~5 ~____TO BE P.r'.IP TO TijE T:OwN OF O.i~RMEL PL,w
COMM~>SSION MU ST ACCOMF.ANY THI S ..1P?LIC.JTION o.
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