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K- : ♦IKPCXrr NO. PX4S5401 PASS U <br />mmi:Wm3 <br />Mm <br />M- ;&i»«lif ■B*.-: Ib;/" ': .:b;b;:-iissiafiiffi <br />iPw'»‘aiKi <br />#1411 Receipt -ClTYOF oromo “^subdivision applicationproperty Z/y*A<irrm. ------------—property locationSite Address SaZo /t^yProperty Identification Number (P.I.d.) ^Z'/^'i7^igSag%^4 ^opf <br />Pie... Check one - Property ^ .b.tr.ct or X_ torr.n.7 <JV>r^ <br />“PPlication. <br />applicant . ------------------------------------- <br />y/<*'y faU4^^ f^juT <br />Phone (home) 9?S - a OFFICE <br />■----------rwrrWrW??) <br />APPLICANT <br />Name ^ ^____ <br />____ Phone (worJc) <br />-------ctty, <br />o«na (If different than .p;ii;;«i <br />Name <br />Phone (work) <br />“‘y>_______________Zips <br />Ox CtrJ ; <br />01 fSh! r-i ,••’UJt ^e.VV'#\ <br />■rr,i <br />— ww V . <br />Zip: --;^uCJ*'"^ <br />f *” ♦ .-T.rjtfi tlfU <br />' > I■ V'Va MV* I V <br />■' <br />•"'»-• :y-> ■ <br />Vie^/i.^ <br />Address: _________ <br />-if^^**^** if moro than one) <br />existing land use <br />Number of Tax Parcels <br />Development Size <br />'■ <br />Present Use (check) <br />-- Land.^iiZsLjf Acres Wet Land <br />Acres Total, all parcels <br />_ _ _Zoning District <br />PROPOSAL -- - - - - -Division for”lax Purposes <br />Residential; no. of units <br />Other (specify) <br />I«t line Hearrangement Only (no new building .Ites) <br />Subdivision for New Building Sites <br />Number of Building Sites: z <br />Z£. <br />Proposed Gross Density: <br />Minimum Lot Size: <br />Proposed Use: (check) <br />Existing Units <br />New Units <br />Total Units <br />^^ Units per Acres <br />Z7^ ■ Sq Feet Dry Buildable Land <br />„ Residential <br />. Other (specify) <br />♦ —\ -. e^»♦. *a-.il.i. ,V.:____________ <br />> B'v'B <br />^Riil m <br />■■ <br />B::(B =•• <br />laiMlii- <br />M Mmmm'M <br />uBri-r-. <br />rm lUi <br />-=-B <br />•r