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c / <br />,>e /r( Date Rec' d <br />e✓ �i� S�� <br />yC t, r . <br />X rc• Fee Rec' d <br />CITY OF � ` - / .x��IC c - <br />.rt <br />SUBDIVISION APPLICATION FORM <br />---------------------------------------- <br />----------------------------- <br />APPLICANT Name DEN N I S UM(,/,t/------Telephone <br />Mailing Address ;Z-,(,p (p11il2lyh,? <br />7 / <br />PROPERTY Name 5A/y( Telephone <br />OWNER — - <br />Mailing Address <br />(Attach list if more than one) <br />------------------------------- <br />PROPERTY LOCATION <br />Street Address ;2, to roS E c)K 5L <br />Property Identification No. (P.I.D.) <br />Complete Legal Description t;, be attached to application <br />---------------------------------------------------- ----- --------------- <br />EXISTING LAND USE <br />Number of Tax Parcels (r, <br />Development Size Acres Dry Land �l <br />_ Acres Wet Land r; <br />Acres Total, all parcels <br />Present Use (check) _y/ Residential; no. of units <br />Other (specify) <br />Present Zoning District <br />--------------------------------------------- <br />PROPOSAL — - Division for Tax Purposes <br />Lot Line Rearrangement Only (no new building sites) <br />___k/ Subdivision for New Building Site <br />Number of Building Sites: Existing Units <br />New Units <br />Total Units <br />Proposed Gross Density Units per Acres <br />Minimum loot Size: Square Feet Dry Buildable <br />Land <br />Proposed Use: (Check) _k--,- Residential <br />Other (specify) <br />