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~'"OUNTY REVIEW FEE ¿!V, 00 ~
Franklin County, Pennsylvania
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LOCAL COuNTY
File Numbér
CASlt~Ci< ~
Municipality of
APPLICATION FOR DEVELOPMENT REVIEW & APPROVAL
Name of Applicant ßeoe.7 6. ¿e-,r"éJl!:...
Address of Applicant / 38'<;9 C-r?'7¿"~ C~V6 ~-'1O.I /J?6<C£ASO<.ld, ý,;, /7?::'>t-.
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Name of Developer
Address of Developer
Surveyor/Engineer ~""'C.7#'f G '.JI7"~/C.
Location of Developmcnt~ Road Name
Road No.
,¿..,. 7T~C C~,,·~ ~.~
/~ - ¡?~- 4s<..
Type of Development:
L Subdivision - Residential _;
Mobile · ome Park
Other
2. Land Development Acit;l.jfì (})
Commercial Industrial
Travel Trailer Park
........ T
Category: .
Advisory *_;
Preliminary____; Final~; Other
Acreage ð: 757 4: .
Total 1\c~eage Previous $, t..¿ ;4<:.
Si~~~~
'7 - ~o ...-:¡ z..
Date
Number of Lots /
Total Lots Previous I
t
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uz
00
,..:¡u
Number of prints given to local municipality ~
M.!~~
Municipal Represéntative
7-Z.0-qZ.
Date
Date Recei.ved 7 - 1. J -c¡1,
~
Number of Prints
. (minimum of 3)"
(See Over)___; No
Commission
----
Evidence of all requirements:
Reviewed by Staff X.
Comments:
Yes _:
" '()
1- None
2. Insufficient data on:
Water Sewer
.~ ____Underground Electric
Intersection Radii'
~ _Right-of-way Reservation
~ ____Duplicate Road Name
~ No House Number
8
3. Other:
____Driveway Permit
Erosion '& Sedimentation
Road Requirement-
-Bond/Construction
Permanent Addition
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I! ,.
ClJ-
Agency· Repre
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Date prints received from County Planning Commission
Not returned within thirty(30) days
See Plat or Plan
*municipalities show developer further requirements
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3-82
and other agencies to contact.