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PLEASE TYPE OR PRINT (INK ONLY) • - <br /> • 1 111113! <br /> APPt..ICATIall FOR SUBt].IVISIOn APPRpitA! <br /> - aRANG�E COP N T <br /> - DATE: n� It /tom <br /> /� - 0 -' <br /> SUBDIVISION NAME: S `'t--''•• `� 1'.`1'L -,. c <br /> LOCATION: 5 R& 19 `rC O w..1 t E4-1. A l <br /> OWNER/DEVELOPER:. Mr, ,. a, -024:11401;1 <br /> . ADDRESS:: I (.t1. . (n" 7 r i` is-/- TELEPHONE Nu..: ULM 9 7 2 ce <br /> . met.. 111 II .C. . 1 - - - <br /> AGENT/CONTACT: • • TELEPHONE NO. :. <br /> I - - - <br /> SiIMi�AnY INFORMATION:. '7,117, 2-�y Q.xP <br /> Grange County Tax. Map BLoak Lot(s] • Townshi.p <br /> • Zoning Diatri.ctta] : I I <br /> TataL Number of Acres: 4-.5.1÷ Phases <br /> Tote L Number of Lots: Average Lot Si ass ,2--Vg- _ Minimum Lot Si za z <br /> Number/Type of Structures: (existing) i (proposed] i het, _ <br /> Linea L Feet •ire Streets:. 24-7i. - . Acres in Open Space. - <br /> Water Supp Ly:IhcIrur��G4J toot S Pub Li c(speel fy] Community _ lndi vi due <br /> Wastewater Disp ass 1.:$c�nhe 7" :Pubtic(apecify) Coniaunity Individoe <br /> Schao L District: Firs District: WA' 1~s- ei it., <br /> Genera Land Uses in Area: Ysid£+.. {:, <br /> CriticaL Arses: stream/drainageways (Laud prone areas <br /> • . Ukr.0t.4.c4..t.f . watershed(apecify3 - - historic site <br /> . • . otherf expLain], . <br /> 3.. A •L p Lets must be submitted on sheet • no sme L Ler than one inch aqua is t <br /> hundred feat • (1 "=2041 ] and. no Larger- then one inch equals fifty r <br /> E1'"=5Q' ] and must contain the fo LLoring=-infarmat ion : <br /> j aabdirisle, name o ess :r147111; 2.451- <br /> L ` - neon of owner(el '":g,x by notation or typtcat tot <br /> 'ck items r Y' - nano of surveyor, engineer •r ,r� layout <br /> ��tCd :: <br /> and planner ..a - • ..,sting .std proposed eeas� - <br /> p ) A. (title) Preliminary Plan 3 wants (drainage, ati tttts*e <br /> .4 seals, north arrow (North at Y rondo,. eta.) <br /> �'°'°' top ar sapi 4' existing. proposed and _ <br /> e date (including revision detee1� adjoining rights-af-wey . _ <br /> .L :mss township, tax nap-block-oat Including dtesnalons end <br /> references struts ■sae* and state. road <br /> boundary de.arlb.d with -. • numbers - - <br /> • <br /> bearings and diat.noss :..r existing and proposed - <br /> total acreage at the tract r - •;^. utilities., including . <br /> ' ;: and scrweg• of lots, including 4r type, sixes, <br /> �•-• end uxoLnding arse within .- hydrants. valves and <br /> rights.of-eay • w.nhaLas•i• control corner �, existing and proposed csivort <br /> 1 •i•::e proposed Lot Lines with 1 including_ alzre and grades <br /> a dlnansione r..� 1 typical. merest cross-emotions - - <br /> It numbers . ::ti•T'•" and to=ara.cttan• details ` <br /> _s t,.. '1; -hosing lint. including design and width <br /> . ' topography at tan foot (101 of trans twiny end shouiders <br /> V 1 eat■ " w.t bori:natal atlgnuent and <br /> _ rotor bodies, ate...., flood- • ••Y general carts date (public <br /> ._ .': Ivey end floodplain• _ X vandal p <br /> li • ui stream buffers and notation � • rean.nt feature* snob am <br /> Indic/axing reitrlated ..� ••t3: bui Wings. aentteri.e, <br /> Y davatopsant potantl•t SEC. historic tsndoccres,. <br /> if • d township, carporsts and axtrs- +_ -'-_-3 edf,atnrirmg lot lb M <br /> : terri tor,a. planning ] r adjoining- props <br /> a� jurisdiction tines which owners and subditieions �"? <br /> • <br /> cross the property <br /> b La Lonatien and elze or parcels dedicated for public nee Or reserved <br /> vim, Lnaetion and size of iota of centrictsd dsse.ls <br /> ,/y notation on plat regarding ■•eer prrwr� petailrtis[. end <br /> G6 1114, ataremt.r aanae.sent elan 1nd4catine eeericter. fns _ • _∎ <br />