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. .. --= X53 7 <br /> APPLICATION FOR LAND DIVISION APPROVAL - TOWN OF PLEASANT SPRINGS <br /> Ajt7c/ el <br /> Name of Applicant r,, C� G? i,l jj �' <br /> Address 1://‘.3 ) 0 A 3` ✓lc el. <br /> COr,e3orl / &AJ: 5 (Cr? 5r.n. c-5`"y. 7s <br /> Telephone Number 21/.5- - /903 <br /> Name (4 Owner(s) , if different from Applicant•C� tr , ,:s go 1 o <br /> Address 2,Q.---71 G uI f✓' iZ ueo <br /> Description of Property Involved (attach legal description or <br /> describe as accurately as possible) <br /> Or) 4h e F-C( 4 zi -e aISC 130l,44,1 ; (t <br /> Al 1 <br /> /09'4}I 4( celry ✓, c(i'e <br /> Type of Approval Requested LavIc` 8\�1.5,cn r� 2-,on �. <br /> Description of Proposel Land Division ,,zohe ut 40 v�acre,L <br /> -c co m 14 is --W ',o h tAci <br /> Number of Acres Involved 1,r5 -V0 3 aece5 <br /> Number of Parcels To Be Created o n C-', <br /> Surveyor' s Name and Address , if any Llrcec- ak h <br /> Dated 1 Vi - ciLL <br /> Fees: $15. 00 plus $1 per lot. <br /> Applicant ' s Signature <br />