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Municipality of fÆ.) ~ ¡(~l: VI
Franklin County, Pennsylvania
APPLICATION FOR DEVELOpr~~NT REVIEW & APPkOV^L
/ C¡ -37
LOCAL COUNTY ..
File Number
A VI.'i\Ào ^ '{ f.
-p,o. 130'1-.
\11-.-:'7
MOlltTOY
51- \ ' JV\ 0 11\'
Name of 1\pplicant
Address of Applicant
Name of Developer
Address of Developer
surveyor/Engineer
Location of Development:
A l-TO
PA.
.'
~.n \ t l ~VV1
Road NO.5
Road Name
¡J . f3 fZ..A.,M ()\vf: /h ) 0 C .
PA. e...t.. 4: '50
L l rru:. Cn\/ S f~'{) .
Type of Development:
1. Subdivision - Residential
Mobile Home Park
Other
. f) Land Development c,vtSP?'{J'tt' VtDM.Q
Commercial ; Industrial
; Travel Trailer Park
W \ bt1 ov1. - \01 5 lVvÅf:::>t
Category:
Advisory·
'f,
Other
S-1..D
Preliminary
; Finâl
Number of Lots
Total Lots Previous
Acreage
T~tal Acreage Previous
µ~d~
Signature of r/Agent
¡-l3 -q \
Date
Number of prints given to local
" . 1" \0: J
mun~c~pa 1ty
¡ MQtí'vU:.)
G~vl-. -:[~~
Munlcipa1 ~Le.entative
Date
'l.-l-1\
Date received
a-J -'q I
Number of prints
(minimum of 3)
Yes__, (See Over)
Commission
14
Evidence of
-/
Reviewed by
Comments:
X
all requirements:
Staff
, No
1.
None
Insufficient data on:
2.
Water
Driveway Permit
Erosion &
Sedimentation
Road Requirement -
Bond/Construction
Permanent Addition
Sewer
Underground Electric
Intersection Radii
3.
Right-ot-Way Reservation
Duplicate Road Name
Other:
No House Nwnber
p. A, 7 ()}¡J~1-U~t ð J
Agency Representative /ÚC
I~ -</ o'q I
Date
Date prints received from County Planning Co~nission
Not returned within thirty (30) days
See Plat or Plan
*municipalities show developer further requirem~nts and other agencies to contact.
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9-78