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i 1i3 .. <br />APPLICATION FOR FINAL PLAT APPROVAL I~ <br />MINOR SUBDfVISfON <br />oRAN~e couNnr <br />4101 <br />PLEASE TYPE OR PRINT (INK ONLY) ~J DATE: lv~ ' t..D ' ~~ <br />PROPERTY OWNERISUBDIVISION NAME: , ~i~.AN t'~~ ! ~A'1Q C,4~ ~-+ IR 5 <br />ADDRESS• ~ g ~~' i"1 ~ ~ ( 1 TELEPHONE NO.• .r7' [ . ~'" ~g ~" V 2' L1~' <br />CONTACT/DEVELOP R: <br />ADDRESS: <br />AGENTICONT <br />ADDRESS: <br />TELEPHONE NO.: <br />SEIMMARY INFORMATION `f <br />Orange County Tax (~ Block Lot(s) ~~ Township ff ! l <br />State Road Number ~ 7~~ Name ~! r <br />Zoning District(s) <br />Type of Road ~.,... Private Road Class ""'~~ <br />Private Road Name Total Number of Loffi °~ School District -1 1~ <br />Total Lot Area ! ~~ 3 Watershed (if applicable) ~ ~)= <br />Joint Planning (if applicable} Chapel Hi9 Carrboro <br />Utilities: Public Sewer Community System Septic Tank ~ <br />PubNc Water <br />Community Water <br />Well / <br />All final plaffi must be submitted on sheet(s) no smaller than 18"x24" or greater than 24"x 36" and must include margins of <br />1"-2" on the leftborder and 1"-2" on all other borders. Final Plats must also have a scale of no# less than one inch equals one <br />hundred feet (1"=100') nor more than one inch equals twenty feet (1"=20~. ff more than one survey sheet is required each sheet <br />shall be of the same else and numbered. Three (3) match marks shaft be provided on each. Final Plats must contain the <br />following infonpettion: <br /> <br /> <br />Subdivision dame (if <br />applicable} preceded <br />by "Final Plat of <br />" <br />Name of owner(s) <br />and address <br />State deed reference <br />where property <br />acquired by owner & <br />parent PIN number <br />Name 8~ address of <br />subdivider (f not the <br />1~ ,Names of abutting <br /> subdivision(s) with <br /> Lot numbers andlor <br /> andownere <br /> Setbacks (width <br /> <br />~ ,stated) <br />Approx. location of <br /> corporate limits, <br /> township boundaries, <br /> ~ county lines <br />>/ Boundaries of stn:effi, <br /> alleys, crosswalks. <br /> and easements <br /> Date of survey and <br /> revision dates (if <br /> applicable} <br />'" Designation of aEl <br /> streets as private, <br /> public, or pre- <br /> existing public <br /> Centerline profile of <br /> street (if required) <br /> _ floodplain <br /> boundaries and <br /> resWcted use <br /> otation <br /> Boundaries of <br /> subdivision (distance <br />~~(, <br />~"/t) <br />'- <br />- & bearings) <br />Impervious surface <br />T data for all lots in <br /> designated water <br />- supply watersheds <br />