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PLEASE TYPE .OR PRINT (INK ONLY) . <br /> APPLICATION FOR SUBDIVISION APPROVAL <br /> OFIANGE C LINTY <br /> /j OATE: tS <br /> ;iiBDIVYSIUN NAME: , /Ij I �/ . -S <br /> '._O.CATI ON: J 4.4#a S F -se '' a o /¢,�J . . <br /> . • ,�►NER/DEVELQPEii:. _<- c; /�'V' �! <;i-o . <br /> ADDRESS:: . TELEPHONE Na.,: <br /> SENT/CONTACT:. :rte: l S I Z----/.01 ) : TELEPHONE. NO. : , 4/2.--././L. .� <br /> ' z75�`/ <br /> . SUMMARY INFO/ MATZOH: <br /> Grange County Tax. Map 11VSLock '----------Lotts) -2- Township • <br /> Zoning Oistrictts] <br /> Total Number or Acres : - iii- Phases: <br /> Total Number of Lots: T Average Lot Size:: 1-ek fnimum• Lot Size 4/ ,e <br /> Numb er/`rype•..;uf' Structu rea: taxi sting) ....... a — (proposed) <br /> �_•____ <br /> Lineal Feet `1n. Streets :-• d+'. Acres in Open Space °�=� -�" <br /> Water Supply:. tiF L t._ Pub Lictspecify1 Community ' • dfvidua <br /> - Wastewater Di spoa L: -5 J << '- Pula Li o t apeci fy) _. Cammun i ty • ndi Sri dui: <br /> Schizo L Di strict: _ C. 4=1, . Fi rs. Diatri ct: part--'r.- . --°vim <br /> General Land Uses in at i2. s 11? EfAt r-i A- .— �-LL2 <br /> Critical Areas: stream/drainageways flood prone areas <br /> .7/ S watersheeitsp.ecify) historic sites- <br /> cthertexplain) . <br /> • <br /> : . ALL plate must be submitted on sheet no. smaller than one inch aqua LS two– <br /> hundred feet (117=200' 3 and. no Larger than one inch squats fifty feet <br /> t1 "=50 ' ) and must. contain. the folLowing information : <br /> . ,,.�` ° 6; �; but Wing wrzbeak lines <br /> snbdl�rleion Hers <br /> • .�" Haar of awaar(s) `}}tie by notation or typical loo <br /> k i tems „= _:::::<S name, at yes, engineer or F: Layout <br /> IeCed lend planner _ �, < existing and proposed ens.— - <br /> p ) A �' •• (tittel Prsliminer Plan <br /> ►rv�.b Y ��. aunts (drainage, ut1 Lineup <br /> L— #:44 spate, north arrow (North it { #'•:r reeds,. sec.) <br /> FORtop of wept �j,,, existing., proposed and - <br /> • date (including revision detss)� :::; adjoining rights—of—may <br /> township, taz sap—block-aloe 5:::::'r including dimeneiane and <br /> '' • reterssese .- Y} street news and state road • <br /> l� • boundary desarlbed with {'••- number"y{:' besrings and die-tondos <br /> `'f a;satin <br /> {� fiS;� t,w g and proposed <br /> emote total acreage of the erect r ;:;rZ': utilities, including <br /> : :a- :$ end 'acreage of tots, including ti E YP v sizes. <br /> ..451 and excluding area within 4r."{0 hydrant', valves and <br /> .:: <br /> sy`y~`: rights—of—say .mg g manholes <br /> aF central earner existing end proposed culvert <br /> '- proposed tat lines. with �.r... including sizes end grades <br /> If r'"'-. dimensions �:='# c <br /> lot numbers :..- typical street eroaa4weetlonm <br /> �' end intersection details <br /> "r s:S°•`^ pluming tines *n including daaign and width topogrs h et ten foot (10I <br /> �. iwwt P f .-lag •T CreveLwry end shoulders <br /> fay.# intervals horizontal alignment and <br /> °.- meter bodies, streams, flood— :' <br /> -tt!n 1 general aorta data (public: <br /> :iim way end floodptains <br /> • Z: stream buffers end notation <br /> •-:�� 5R* permanent features such as <br /> *EM3 indicating restricted pr y': buiidlna., ice <br /> (-�..::: development potential ,...— historic Landmarks, *_ <br /> '< township. carparets and extra— :M: adjoining lot layout - <br /> MO territorial planning f adjoining. property <br /> ' jurisdiction lines which ownersend stbdivistonr <br /> 4.---lkY Crass the property <br /> Location end sisw or parcels dedicated for public' use or reserved - <br /> - WP in <br /> • <br /> location <br /> and size of fats of reatriassd development potential and <br /> .—.-■-M3 notation an atet regarding same,- <br />