HomeMy WebLinkAboutApp 86-176
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'tOONTY REVIEW FEE
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Franklin County, Pennsylvania
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CASH/éEcK_!'!S:-/ 7/P
Municipality of_-L~)£trren TWp.
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APP1,ICA'I'ION FOR DEVEIDPMENT REVIEW & APPROVAL
LOCl\L COUNTY
File Number
Name of Applicant
Address of Applicant
Name of Developer
Address of Developer
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Surveyor/Engineer
Location of Development:
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Road Name
Road No.
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Type of Development:
1. Subdivision - Res,idential
Mobil, Home
Other
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Park
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Corrunercial Industrial
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Travel Trailer Park
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2. Li.t[¡d Development
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Category:
Advisory*___i Preliminary
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Final v-; Other
Number of Lots 0" ~
Total Lots Previous
Acreage_~3-4::Q5_~c¡l"-e ...{
'rotal Acreage Previous ì, 7'7.5" _C; Ac.re ¿,
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Signature of Dev~~ Date
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Number of prints given to local municipality ______.:1____________
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Munic ipai' Represent. ~ ti ;~---------D-a t-~-
Date ReC2ived_.L-·-;l-tfc Nwnber of P~'ints
Evidence of .11 reqUireme~ Yes___, (See Over)
Reviewed by Staff L_~~ Commission
~o Ints:
1. Nune
2. Insufficient data on:
Date prints received from County Planning Commission
I\'ot returned within thirty (30) days
See Plat. or Plan
*municipalities show developer further requirements and other agencies to contact.
\'l¿,ter
Sewer
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__underground Electric
Intersection Radii
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___Right-of-Way Reservation
_____Dllplicate Road Name
No House Number
3. Other:
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7
(minimum of 3)
i No
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__Driveway Permit
_____Erosion & Sedimentation
____Road Requirement-
Bond/Construction
Permanent Addition
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Agency Repre entative
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Date
h£u0DJa~ ß,~ ~ -J - fb 3-82