P&Z Application for Concept for Secluded Oaks Subdivision

APPLICATION FOR CONCEPT
DIVISION III
TANEY COUNTY PLANNING COMMISSION
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The Concept Application is for the use of the Planning Staff and Commission to
enable us to know the nature of the planned project. The official Division III
Application for permit will be filed along with everything needed to complete your
file, as listed on the Division III Procedure Checklist. Division III Applications:
$100.00, Special Use Applications: $25.00.

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NAME OF n f)
APPLICANT: /~-e_./(c o '-.-{)//5T7lA..cT/ ~/l

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~m;:;;;;: owner ofrecord)

SIGNATURE
DATE: 7-? ~o 'i{
(must be owner ofrecord)

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TELEPHONE
NUMBER:
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J J 1./-7""31
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NAME OF REPRESENTATIVE: ~.e-<S ~D2"7
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MAILING ADDRESS (rep.):
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TELEPHONE NUMBER (rep.):
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ACCESS TO PROPERTY street # and name :

# of Acres (or sq. ft. of lot size):

PARCEL # /V'W 'i of -tAe SE i
NAME OF SUBDIVISION (if applicable):
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Lot # (if applicable) BLOCK #
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WITHIN 600' FROM THIS PROPERTY IS: (check all land uses that apply)
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COMMERCIAL MULTI-FAMILY RESIDENTIAL
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AGRICULTURAL MULTI-USE MUNICIPALITY
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TYPE OF SEWAGE DISPOSAL SYSTEM:
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CENTRAL TREATMENT PLANT
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PUBLIC WATER SUPPLY SYSTEM:
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CENTRAL COMMUNITY WELL
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DOES THE PROPERTY LIE IN THE 100 YEAR FLOOD PLAIN?(Circie one) \/
YES_NO~

THIS REOUEST FALLS INTO ONE OR MORE OF THE FOLLOWING CATEGORIES:
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RESIDENTIAL MULTI-FAMILY COMMERCIAL INDUSTRIAL
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SPECIAL-USE OTHER
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Please give a description of your proposed project including all uses:
(IMPORTANT: Make this description as complete as possible as your
public notice will be based on the information provided here.)

h ~!A 1-c1,vlt/~ G, ee-1 ~a(?-3 e£

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SECLUDED OAK SUBDIVISION

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