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. i <br /> teesubdi(mustisinnaccotnwioSpanyeytorn$) <br /> t�iif Vert �,'a2mllE�}' Subdivision Permit Application Svun ' S50U0 t <br /> �At5 - <br /> 2./ �. I?t�%Di Pre-Application Iicatian Farm Survey of ExistingParccl: 550.00l}ot <br /> �`.•�Yt ' / tt'{� Subdivision w:Survcv: 5200.00+550 OOQoF if <br /> } !� LFItIL jFt`C - — <br /> r <br /> '� 91 fico tF ) V <br /> r L �•yy <br /> ?{j t' Address: Y3 y 1 _ L x IN /G+N� f /C� A/ddress:_.._ � � �'L' 2.1tCC if VAf 3 <br /> frlL.Eytcrl. ��Z> z <br /> _i � #I1-� f � /h/n _ oI <br /> 2 '8 <br /> /_Z- l�� fi-a4�& /'� '; l.7• % ��� fT�/ <br /> — Phone: `�� <br /> ircffilnfarmation <br /> —c z�c�n�y 1ax7i >>h/ <br /> "1 <br /> Parcel ID#: 01-0 3� 37 /y� - -h eel -t:)041 3bon Township Range /yll <br /> Original Descri [ion(or attach copy): LA2✓=? <br /> Current Toning: /a k �2--1_ — Floodplait «"etlands lN; /....-..—_.__. '� <br /> _ <br /> Lake/River Classification:_I__i—Name of Water Body: { <br /> ��e; ! rC(�6 `L' --- <br /> I Shareland Agreenit or SIPSYl�V:; _Farmland Preservation YI�1G� Managed Forestry Law't'��'� <br /> I <br /> New Parcel Information <br /> `/ <br /> j Proposed l+icw l.egat Description and Parcel Sire: <br /> Acres: <br /> i (If parcel is to be surveyed,provide preliminary/map. See attached for preliminary map requirencents.) 1 <br /> Proposed access to public road: <br /> Proposed access to public waters to be provided VfN- ' n <br /> if ves.describe acc s: <br /> Signature of Owaer: ate- <br /> rs <br /> Signature of Owner; S '� _-- Date: �� � — <br /> 1)nes parcel ntc e!Zvnirg Requirements? Yes No ro <br /> o '* <br /> a <br /> = r Uses parcel require a.Survcn4l Yes Nv <br /> i Permit application fees suhmined? Ammint$—��• -- Receipt# — -„ <br /> ❑ Reconciles with Real Property Lister Yes No Date: <br /> c -- <br /> D.x <br /> If not,captain: MOV <br /> r - <br /> a _AUG 10 2015_. <br /> Appticatio . pprnved Denied Reason for Denial:—.— <br /> UF1WTT1UULJNW <br /> Land Use:. <br />