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~+tP~~'~.(C,~~`IO~1 IF4~~ f~~~L1II~AO~Y IPL~~ ~PPR.~~~.~ <br />~~Jt~R SLtB~3tV[S!(3~! <br />i3E~ANGE COUNTY <br />SUBL€1V1SfON f~AME: <br />x105 <br />DATE: ~'„ Z.A~ ,_,_ <br />TELEPHONE NO.: ~~~"''' ~~~5 <br />ADDRESS ~ ~~,,~ Vi+U~"31s~ V'~ . "' TEt.EPHOFtE NO.: "~I~L" 4P~ (dr <br />A SUMMARY INFORMATION • 1 <br />C}range Countyfiax Map J'~7 Block - Lot{s} 7 Tovrnsitip.,~~~~/lC1C'~S 1 <br />Zoning Distric#{s}: J4 )~, ~ tS -'1~~Jt~s ~.a , ~.1 CSC ~+ <br />Total Number of Acres: ~' . z.t... <br />Total Number of La#s: ~-~ Average Lat Size: b.Q .Minimum Lot Size; ,_ •'~ ~- <br />hiutttberlType of ^strucfures:r{existing} yip y~~ (proposed} ~~ _ <br />Linear Feet fn Streets: ~'?~ ~'(~ Acres in Open Space: i9I : ~i ~ <br />Water Supply: Public (specify} Community `pC [ndlvidual <br />Wastewater t3ispasal; Fukslic {specifiy} • Ciomrnunity ~ individual <br />School District: Ffre District: <br />Genera[ Land Uses in Area: ~, <br />Critical Areas: 2 r streamldrainageways flood prone areas <br />t~ -S~'~}D watershed {specify) historic sites <br />• other (explain} <br />is <br /> is the property to be subdivided currently under "farm use value taxation"? Yes No 1 . if "yes," please <br /> contact the Change County lax C)fftce. Subdivision of the property may require payment of deferred taxes under <br /> "Farm uss value taxation." <br />B Atl plats must be submitted on sheet no smatter than one inch ~quais two~•ttundred feet {t"=2oo'} and no larger titan <br /> one inch equals twenty feet {i "=20'} and must contain the #oliawing information: <br />,~ subdivision name ~ zoning ref tract and adjacent <br /> properties <br /> name & address of owner{s} ,_ /~ buifdfng s$tback lines by notation or <br /> typical tot layout <br />~ name Z~ address of subdivider ~ location and width of existing and <br /> {ff other than owner} proposed easements (drainage, <br /> <br />~ utilities, roads, etc.} <br />/ name of surveyor, engineer, landscape ~ Existing, proposed and adjoining <br /> architec# or architect, address, rights-af--way including dimensions <br /> ,registration # & seal and street names and State Road <br /> (title} Preliminary glen nurKtbers. Linear feet ofi road <br /> scale, north arrow centerlines and approximate acreage <br /> date of plan preparation and revisions of new street rights-of-way <br />/ township, tax map-blocEc-lot references ~ existing and proposed utilities, <br />_~/ Parent Parcel ldentifitca#fan # including type, sizes, hydrants, <br />deed book and page # of property to be / <br />/ <br />subdivided naives, manholes <br /> / <br />boundary described with bearings and existing and proposed curbs, gutters <br /> distances and culverts, including sizes and <br /> grades <br />PLEASE TYPI OR PRINT (INK ONLY} <br />