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Attachment 1 <br />APPLICATION FOR PRELIMINARY PLAN APPROVAL 8 <br />MAJOR SUBDIVISION <br />ORANGE COUNTY 5105 <br />PLEASE TYPE OR PRINT (INK ONLY) DATE: ) <br />SUBDIVISION NAME: <br />one Inch equals twenty feet (1 " =20') and must contain the following information: <br />LOCATION: <br />subdivision name <br />zoning of tract and adjacent <br />OWNER/DEVELOPER: <br />X)1;-P <br />P- <br />-r <br />ADDRESS: <br />ii <br />tJ <br />TELEPHONE NO.: j <br />/y <br />name & address of subdivider <br />typical lot layout <br />location and width of existing and <br />AGENTICONTACT: <br />(if other than owner) <br />proposed easements (drainage, <br />ADDRESS: <br />0 !) <br />TELEPHONE NO.: A / <br />utilities, roads, etc.) <br />7l <br />name of surveyor, engineer, landscape <br />V// <br />Existing, proposed and adjoining <br />A SUMMARY INFORMATION <br />rights -of -way including dimensions <br />Orange County Tax Map <br />Block <br />Lot(s) Township ) % <br />other (explain) <br />Acres in Open Space: <br />Community <br />flood prone areas <br />historic sites <br />Is the property to be subdivided currently under "farm use value taxation "? Yes No 74 . If "yes;' please <br />contact the Orange County Tax Office. Subdivision of the property may require payment of deferred taxes under <br />"farm use value taxation." <br />B All plats must be submitted on sheet no smaller than one Inch equals two- hundred feet (1 " =200') and no larger than <br />one Inch equals twenty feet (1 " =20') and must contain the following information: <br />subdivision name <br />zoning of tract and adjacent <br />f <br />properties <br />name & address of owner(s) <br />V <br />building setback lines by notation or <br />name & address of subdivider <br />typical lot layout <br />location and width of existing and <br />(if other than owner) <br />proposed easements (drainage, <br />utilities, roads, etc.) <br />name of surveyor, engineer, landscape <br />V// <br />Existing, proposed and adjoining <br />architect or architect, address, <br />rights -of -way including dimensions <br />registration # & seal <br />and street names and State Road <br />_ (title) Preliminary Plan <br />scale, north arrow <br />numbers. Linear feet of road <br />centerlines and approximate acreage <br />date of plan preparation and revisions <br />of new street rights -of -way <br />township, tax map - block -lot references <br />existing and proposed utilities, <br />Parent Parcel Identification # <br />including type, sizes, hydrants, <br />deed book and page # of property to be <br />valves, manholes <br />subdivided <br />boundary described with bearings and <br />existing and proposed curbs, gutters <br />distances <br />and culverts, Including sizes and <br />grades <br />