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<br />---- ---- <br />X <br />X <br />NA <br />X ^_ <br />x _ <br />X <br />Jt __ <br />I. <br />i x <br />t ---- <br />i <br />X <br />I 14A <br />1 <br />I C <br />i <br />I <br />~;,n..~rv:~ <br />~.. <br />total acreage of thr ct and acreage of <br />lots, Including, and excluding areawlthin <br />rights.of~vay <br />control comer <br />proposed 1ot11nes with dimensions <br />tot & block numbers <br />phasing line(s) <br />topograpfiy at ten (10) foot intervals <br />water bodies, streams. fioodvraYs and <br />floodplalns <br />stream buffers <br />location and size.of parcels dedicated for <br />public use, recreatlonao$~ noted sorved <br />Fn common, with purp <br />impervious surface data Cf located in <br />water supply watershed) <br />vicinity map showing general IocaBon of <br />'- subdivision with streeffi and roads <br />identified by State Road number and <br />name <br />landscaping and buffer requirements <br />-_ 'township, corporate and extratemtorial <br />-- planning Jurisdiction Imes which cross <br />the property <br />OTHER SI j~BMil"1'AL RE4UIREMENTSc <br /> <br />X <br />"'""~' ~ a~ <br />location and width of alleys, <br />bike lanes, transit <br />sidewalks <br /> <br />X (a <br />, <br />systems, and bus stops <br />l street crosssecflons and <br />i <br />---"' ' ca <br />typ <br />- intersection details iriciuding design <br /> andwidfhoffravelwayand <br /> <br />x shoulders <br />horizontal alignnsent, centerline <br />_ <br />--"- _ ._ radius, and general curve data on all <br /> proposed streets <br />x permanent features such as <br />"'-- ~ ___ <br />buildings, cemeteries, historic <br /> Iandmerirs <br />X adjoining lot layout names of <br />--' adjoining property owners. IF <br /> subdivided, subdivision plat name, <br /> plat book & page number, and <br />X perimeter lot numbers. <br />n and size of lots of resVicted <br />fl <br />-- o <br />_ loea <br />development potential and notation <br />X on plat regarding same <br />atormwater detention and/or <br />'- -- retention sites and undisturbed <br /> areas forinflitraflon purposes (if <br /> located [n water supply watershed} <br />NA Ideritifled natural areas and wildlife <br />"-'- ~ -• corridors <br />1. Twenty-flue (25) copies of the Pcellmtnaty PIaL with tax parcels involved cleady marked). <br />2. Ono foil size copy of an Orange County Tax Map <br />3. Where municipal or OWASA sewer Is not available, a copy of tho Preliminary Plat indicating Health Department <br />approvalidenialfcr each let show thereon. licant or hislher authorized representative which <br />4. Where a private road is proposed, a written stafamont by fhe aPP <br />sots for the justification for a prNate raaared In accordance withlSectlo Vrl ofthts O dtnancedwhi h assuraafionsJ, <br />5. Auxlifary documents, in draflform, p p <br />not be libmited to~a prfvafenroad maintenance agreement and artici s of incorporaf on andrrestrictlve covenants <br />pertaining to a homeowners assoetation. These documents maybe required as necessary as evidence that tire <br />ordinance requirements are being mat <br />B. Fae - $500 plus ySAD per lot (one fse for Preliminary and Final Plat). <br />7., If the subdivision contains 101ots or more, the following information shall be subrnitfad with the application: <br />a. Number of years to buildout, 3 Years 6 houses/year <br />b. Number of houses to be built during each year until buildout 6 cox - 1M$ <br />c. Average price of houses Including lots for each year to bulidout. $ <br />I certify that to the bast of my knowledge the inforraetion contained above, and In the supporting documents, is a factual raprasentaGon <br />s authored, pursuantto N C. Gen. SFaL Secti n 15 a~80, to Imake asmany iinspections F thte suibJect property as may be necesseryt <br />to verify that the proposed work outlined herein is consisleht with the previsions of ag applicable State and local laws, ordinances and <br />ragulaSons. E3y signlnH ihls application, I acknowledge and agree that inspectors. zoning officers, em~n control officers, and o er <br />resentation of pfoper credentials, to enter the <br />staff of the Orange County Planning ~ Ilupectlon n Die p~rirn pardon o a thereen Po emen~on• ~ 1 p4 <br />subject property at any reasonable hour for the purp 11 <br />Ob <br />} C DATE <br />~ - A ptl(:ANT'S SIGNATURE <br />1. i <br />~ 1{ ,XFEEp• ~#rnount •`+`~~•r;.`^r•~p Date E'ald <br />i <br />I <br />22 ~-b Ofo .. Raceiptit .: <br />~, { _ 4 (. _ <br />DATE <br />4:: .... <br />~Q~-O~S'~" - <br />