HomeMy WebLinkAboutBOWERS MRD - COUNTY REFERRAL - 67-87 - SUBMITTAL DOCUMENTS - ROUND 1 - APPLICATIONr
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LARIMER COUNTY MINOR PROPERTY DIVISIONS Minor Land Division
APPLICATION DORM —7 Minor Residential Development
Amended Exemption
Add-on Agreement.
Boundary Line Adjustment.
(All parties listed will receive correspondence; check one for primary contact)
Applicant: Name 6:—IyiiJdnt !C. c/o/V._',
Mailing Address k/_?z>/ (7,7
City, State, Zip / - ��', ///,•,0-z Phone i`.�
(if not owner, list owner's name and address
Surveyor: Name T"e .5 ; •
Mailing Address ,1//1
City, State, Zip Jl; l e- l�itit`: �) Phone 'X,2 f.3.'1-
,
Lit%5.P
Other Representative: Name
Mailing Address •
City, State, Zip Phone
*****ar***iHF* ****iE9FiF$3E****** #iHHE****iSiE***********-* ******.**#***********3***iFdF****JS@***18
Property Location (Section, Township, Range): �� - / ' _'� _, , ,=; �/ / 3' �� /�: '� ri.)
Access: t_�:. . d /. i Existing Zoning: i=4 'O/b,!'r-,
Water Supply: Present L_ L._C Proposed
�.Sewage S stop: Present i Proposed
Existing Improvements: (list principal structures on each proposed lot)
Lot 1
I.,ot 2 A/,:.
Lot 3 /'V{_.••,4c.
Lot 4
Purpose of Request: % ,r7.9,t iT ..5 / r4GE -v c3u��n. i? n77NE
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Acreage of Existing Lot. 1 4,0, C5$ Acreage of Each Lot. 1 3'-5', 39YZ
Parcel(s) Lot. 2 Proposed Parcel Lot 2 .;7, ;I9 7/
Lot 3 Lot 3
Lot 4 Lot 4
Signature of ,ne�
Owner(s)
/2 CB'`• o /40 Date /e 2.3/77
" il� �
A lame Date 23/8 7
Signature of Applicant:.(s) h
�=! 14( aufeJt.L Date /O/vZ 3/ S
Date
LCPZ-137(1/87)
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