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1-14- <br /> 1 MINOR SUBDIVISION APPLICATION <br /> Property Owner(s) <br /> Address 52? Phone ( ) SP'T 2 ' 7-6).7/ <br /> Developer/Contact Name e6lLFjpvet,p4 45- e9et, xis 173.2- gs-4/7'P1dvy <br /> Address Phone ( ) �j /C��DQ ;1 <br /> Location of Property • 9 • . oZer <br /> township map block lot <br /> Zoning 12. Fire District 61/7.--A./e■XIAE-/? -% <br /> Watershed Impervious Surface <br /> Joint Planning: C.H. Carrboro School District <br /> State Road Number /53 d Name- –C[, �yt_. � � T <br /> Private Road Class /`"t" Name <br /> Do you plan to build the road before final approval? ),/CS <br /> or secure construction with a security document? <br /> Utilities: Public Sewer Community System Septic Tank' <br /> Public Water Community Water Well <br /> If on a septic system, the Health Department must examine all existing and potential <br /> building sites on lots shown on the plat. <br /> V pfe //]] <br /> Total Lot Area / L •C— Number of Lots if v-. <br /> Lot Number: Size of Lots: Structures• (proposed or existing) : <br /> I (We) hereby certify that I (we) have read the above information and that the information <br /> I (we) have supplied is accurate to the best of my (our) knowledge. I (we) understand <br /> my (our) application is not complete and cannot be approved unless all required information <br /> and material has been provided. <br /> Date Signature <br /> • <br /> Date Signature <br /> Filing. Fee n of Lots Fee Private Road Fee Other Fee <br /> Total Fees Date Paid <br /> - .. . .. <br />