HomeMy WebLinkAboutCOUNTRY SQUIRE ESTATES MINOR RESIDENTIAL DEVELOPMENT - COUNTY REFERRAL - 47-88 - SUBMITTAL DOCUMENTS - ROUND 1 - APPLICATION•
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LAR I MI;R COUNTY MINOR PROPERTY DIVISIONS
APPLICATION FORM
Minor Land Division
Minor Residential Development
Amended F..xenption
Add -on Agreement
Boundary Line Adjustment.
(All parties listed will receive correspondence; check one for primary contact)
Applicant: Name
Mailing Address
Tti
(� tAT�-Z k '
City, State, Zip L cni c- Co. FOS:SSPhone
(if not owner, list owner's name and address
Surveyor: Name
Mailing Address
City, Stat.e, Zip
Other Representative: Name
c R - t -�(03 - toowl<
,Phone
�C t-1 Nl l b -IS-k t K coo-, Ni,
Mailing Address ��r�L�- LIRC-Oug Ay
City, State, Zip CC, t>, Co Phone
Property L,oc ation (Section, `Township, Range): �FC't� �� T 8 �, R1�9 W
-40 Accwss r--ws�M�h�
Access: V-ReM ikOIQ--t" SCl1rE:tpS ST, Existing Zoning: �� - ���► t�ll�t�+,
rlo.Caco. U- tt c" 41' Ugez- Cck;,Stau:c-t 2" M A i H AtoxC�
Water Supply: Present l4N K. SNtrZEi.tbS Proposed AcCoSs QASE, `��� (or.
C" S '►+tt-A02ESr LamesoN OLLLU)c ply-5�tTE (tcY') t?lt)t�tl�tt►1L S�tv�q(,F
Sewage Systan: Present.LA*kE3 AP�P�ux.Z tkji ra Proposed �SpoS S'r rnS.
D t--A- a+cac--
Existing Improvements: (list principal structures on each proposed lot)
Lot 1
Lot 2
Lot 3
Lot 4
1�o K�--
Kox r---
PCA,n
Purpose of Request: 4 C CQtE k, 'N xz S[�C9L, (C►.� �C.4' 1�'�S i t>+: MTl r4 (
L L�-k M>L>CV to M TO (
Acreage of Existing Lot. 1 1 Acreage of Each Lot 1 _2-7
Parcel(s) Lot. 2 _A/^_ Proposed Parcel Lot 2r"�
Lot. 3 A, Lot 3 io,C)
Lot 4 Lot 4 9. n
Signature of Owner(s) 9
Date
Date
Signature of A li ant(s)
e Datc,