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COUNTY REVIEW FEE
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¡ Ò ,-¡:-- .
CASH/CHECK NO. J 7 7
Municipality of
Franklin county~ Pennsylvania
APPLICATION FOR DEVELOPMENT REVIEW & APPROVAL
/
COUNTY
Number
LOCAL
File
J'I'
=;e~: ~~P~~~~~ant -?:;?-Ä/i¿J;,¿AA-Af~~
Name of Developer (~"-L-) - . ,
Address of Developer
surveyor/Engineer W ~ß~""A.J é.Ã.../ -&..A~ ~ .
Location of Development: Road No.s
Road Name
/
!/CU
"2 2-/ ~-C.)
Type of Development:
1. Subdivision - Residential
Mobile Home
Other
/
Commercial Industrial
Travel Trailer Park
Park
2. Land Development
Category: Advisory*
Number of ü:>ts '7
Total ü:>ts Previou~
; Final \/
Other
Preliminary
Acreage L.f-¡¿¡.3~8
Previous
Number of prints given to local
8
Date received L f ",,/' - ;7 9
Number of prints G
(minimum of 3)
Yes_-,--; (See Over) No
COlmnission
Evidence of all requirements:
Reviewed by Staff
Comments:
~
1. None
2. Insufficient data on:
Water
Sewer
Driveway Permit
Erosion &
Sedimentation
Road Requirement -
Bond/Construction
Permanent Addition
No House Number
Underground Electric
Intersection Radii
Right-of-Way Reservation
Duplicate Road Name
X 3. Other:
to the township.
1) Results of the' soil analysis should be submitted
2) Minimum building setback lines should be noted.
// '~r ---
/ .//1--
(//-./--" -~~
Agency Repre~htative
3- s- 71
Date
Date prints received from County Planning Commission
Not returned within thirty (30) days
See Plat or Plan
*municipalities show developer further requirements and other agencies to contact.
9-78