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COUNTY REVIEW FEE
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Mw1icipality of W (lfrct) '7 ¿Up.
Franklin County, Pennsylvania
APPLICATION FOR DEVEIDPMENT REVIEW & APPROVAL
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COUNTY
Number
LOCAL
File
Name of Applicant
Address of Applicant
~111¡'a¡r¡ Cole
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Name of Developer
Address of Developer
Surveyor/Engineer G e.Ûrq e- [ . J¿l ~/ I. P. L .S.
Location of Development: ' Road Nam (1 )(1rcl /}r, tJt:..,.
Road No.
Type of Development:
1. Subdivision - Residential~i
Mobile Home Park
Other
Commercial Industrial
Travel Trailer Park
2. Land Development
..
Category :
Advisory*____i preliminary____
Final
Other
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Number 0 f Lots Jv
Total Lots Previous
Acreage
Total Acreage Previous
Number of prints given to local municipality
Municipal Representative
Date
Date Received
7 -& -f9
3
Number of Prints
Evidence of all requirements:
(minimum of 3)
(See Over) i No
Yes i
x
Reviewed by Staff
Comments:
}é 1. None
2. Insufficient data on:
Commission
Water
Sewer
____Driveway Permit
Erosion & Sedimentation
____Underground Electric
Intersection Radii
____Road Requirement-
Bond/Construction
Permanent Addition
____Right-of-Way Reservation
____Duplicate Road Name
No House Number
3. Other:
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Agency Repres tative Me.. Date
Date prints received from County Planning Commission
Not returned within thirty(30) days
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See Plat or Plan
*municipalities show developer further requirements and other agencies to contact.
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