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r <br /> APPLICATION FOR RRE'LIMINARY PLAN APPROVAL 6 <br /> MAJOR SUBDIVIS1014 2190 <br /> D RANGE COUNTY <br /> DATE: V�M Q <br /> PLEASE TYPE OR PRINT (INK ONLY) <br /> 1% A/I <br /> SUBDIV:SION <br /> LOCATION: a/� a rov �r a � Penc <br /> OWNER/DEVELOPER: <br /> ADDRESS: k . TELEPHONE NO.: 6 <br /> AGENT/CONTACT: • O Q TELEPHONE NO.: <br /> A. SUMMARY INFORMATION: <br /> Orange County lax Map NG5�* 1 �eock 2 Lc-(s) Township EYz2 <br /> Zoning District(s): <br /> Total Number of Acres: L. Pneses: <br /> Total Number of Lots: /0 Averaoe Lot Size: 14 O dinimum Lot Size: I LrJ G <br /> t+umger/type of Structures: (existina7 n"- _ (proDosed) d OAS•^ ��vdf4 e <br /> Lineal Fee: in Streets: <br /> Acres in Open Space: <br /> idater SupDL y: 11��`a e c Public (specify) �� Com�un:'y S .ndi:ic <br /> Wastewater Di Public (specify) Community L�5 e A t--Indivicual <br /> SLhpDL DiS:rig:. Fire Di6.rict. K:N <br /> General Land Uses in Area: A + <br /> Cri-ical Areas: stream/drainaoewars A/ `'icod ❑rage dregs <br /> watershed (specify) P+1+� historic sites <br /> other (explain) <br /> Is the property to be subdivided currently under "farm use value taxation"? Yes— Ncf "yes", please <br /> contact the Orange County Tax Office. Subdivision of the property may require payment of eeferred taxes unce- <br /> "farm use value taxation <br /> B. All plats must be subnitted on sheet no smaller than one inch equals two-hundred fee: (1"=2001) and no larger <br /> tnan one inch equals twenty fee, (1"=20') and must ccon Tai inn the follouin? inforFation: <br /> G subdivision name '� zom nc of tract anc adjacent orgpe--les <br /> C ✓ ';'•i/i' name $ address of ovner(s) _ •• building setaack lines by notation or typical Lo: <br /> name $ address of subdivider layout <br /> • ;>?': <br /> (if other than owner) mow% location and width of existing and proposed <br /> N U ','' easements (drainage, utilities, roads, etc.) <br /> ►� ? ::: name of surveyor, engineer, <br /> F_ v m�fr:::•;: <br /> J':`'' ' <br /> existing, proposed <br /> and adjoining rights-of-way <br /> a landscape architect or architect, 5. pg <br /> address, registration X and sealy1s including dimensions and street names and state <br /> d f (tit Le) Preliminary Plan road numaers. Lineal fee: of road centerLines and <br /> c� ✓ s w le, north arrrow approxicate acreage.0 new scree: rights-of-way <br /> Jyr: ': <br /> W m tilities, including type, <br /> date (including revision dates) j existing and proposed u ` <br /> 0 re township, tax map-block-lot ,•"51"`'' sizes, hydrants, valves, manholes <br /> y' ' ' 'l' existing and proposed curbs, gutters and culverts, <br /> .0 "``'''''' references <br /> Parent Parcel lden;ifica:ion : including sizes and grades <br /> : deed book and page ti Of property � : <br /> Location and width of alleys, sidewalks, bike lanes, <br /> to be subdivided transit systems, and bus stops <br /> (please complete reverse side) <br />