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FEDEX KINKOG PAGE 03 <br /> 18/2007 14:05 6830633 <br /> ,�rauru-rc aurcvtr irv� <br /> /10/1994 11t1G 17113RF; ;420b Feerfmust.ewmWtq'roan): <br /> Subdivision Permit .A lication <br /> $ubdiv)slonwloSurvey: E50.00 <br /> $Urf}0tt COUlltty �� surveyofbiistingParacl: 00.. 0110t <br /> and/or Pre-Application: FOrfn <br /> Subdivision wl 5utre": n200.00+S5D,00Aot <br /> Lettayer: <br /> Owner. <br /> ��/��� ['�_ Address: z <br /> Addreae• J—OgS — P <br /> ,1�4ti.ac,Gy�v /{•f :�/�i7h_ 077Oj <br /> Z • 7s9� Phone: �----- � <br /> Phone: Oq <br /> QrisdnaP4[ce?bttormation --- <br /> Par�elzDtt: 060- ZI02- /90e <br /> Section 7 Township 38 Range <br /> Z CSA 9zoff s <br /> Orit ntal Description (or attach COPY): <br /> Current z atinji: -- -- Fteadpiata�l: -- <br /> I ykelftWer 0asaifleation•ZNjIme of Water Body: loot e r fee L k <br /> Mew a rcd otmati g <br /> Proposrd New Legal Description and Parcel Size: Acmsz <br /> 3C1 <br /> provide reliminary map. Sec attached for preliminary map requirements.) <br /> (If pared b to he surveyed,provp . <br /> Proposed access to public road: <br /> P <br /> Proposed aecems to pabiic waters to be providv&#. :— \ <br /> H yaa;daaeribo access: ^ UJ <br /> l <br /> 1 <br /> C <br /> ate: <br /> 31pacure of Owner. <br /> o <br /> Date: .2 g <br /> g poli tr a of Owner: m <br /> C <br /> LI A Does parcel meet,Zonl»�Raquvemenrs? Yrs No <br /> Yrs No o G <br /> i cnt"re^ur�e a Survey? <br /> �' Y 1D�ca5 <br /> e► a5�•D b Receipt 4 � d <br /> it flermb application fats submitted? Q Amount S p <br /> w 1 <br /> o W <br /> ° ❑iteeonciles with Reo)property Lister Yes No Dote: <br /> m W W <br /> � 1 <br /> &fi Z <br /> V o.. <br /> b P <br /> o <br /> �v<ad ' Denied Reason for Denial: <br /> Appsloat6taaa Pp <br /> �--- Asea: <br /> Laa+A waasL/�� � g o <br />