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MISC FINAL PLAT CASE #C '- \ REVIEWED BY LAND MANAGER NAME: -AA\1 Q. \ S� ENGINEERING /SURVEYOR: r \ � C OWNS R ' WO\ Q\ 'K CAc C� P& 11 A VED ❑ DENIED ❑ CONDITIONS OF APPROVAL: REQUIRED UTILITY PLANS: TYPE DATE APPROVED WATER SEWER STREETS DRAINAGE \ \ SIDEWALKS DETENTION/RETENTION POND ACCEPTED BY PARKS OF APPLICABLE) OTHER PARKLAND DEDICATION REQUIRED YES ( N ) ❑ SINGLE - FAMILY ❑ MULTI - FAMILY ❑ OWE FEE IN LIEU OF LAND OWE DEVELOPMENT FEE ❑ DEDICATE LAND OWE DEVELOPMENT FEE ❑ DEDICATE LAND DEVELOP PARK IF REQUIRED: PARK ZONE # OF LOTS/UNITS AMOUNT DATE PAID IMPACT FEES REQUIRED YES NO IF REQUIRED: IMPACT ZONE: # OF LOTS/UNITS: AMOUNT: DATE PAID: UTILITY INFORMATION: INFRASTRUCTURE CONSTRUCTED & APPROVED ❑ YES ❑ No LETTER OF GUARANTEE /CREDIT RECEIVED TAX CERTIFICATE: TAKE ORIGINAL COPY TO COURTHOUSE. PLAT WILL NOT BE FILED WITH OUT IT. CHECK WITH NANETTE TO SEE IF THE DIGITAL PLAT HAS BEEN RECEIVED. ic,(1 WE HAVE NOT RECEIVED IT HOLD FILING THE PLAT UNTIL IT IS TURNED IN. FILING INFORMATION CONDITIONS OF APPROVAL MET SIGNATURES P & Z CHAIRMAN CITY ENGINEER COUNTY JUDGE (IF APPLICABLE) CITY PLANNER (IF MINOR PLAT) FILED AT CLERK'S OFFICE VOLUME PAGE CALL APPLICANT /OWNER WITH VOL. & PG. #' S RETRIEVED FROM CLERK'S OFFICE SIGNED OFF ON AS /400 -THE CITY OFt OLLEI STATION * ** CUSTOMER RECEIPT * ** Oper: SSTANLEY Type: CT Drawer: 1 Date: 1/21/04 CO Receipt no: 106437 Description (quantity Amount 2064 500015 PL PLANNING AND ZONING G X600.00 KERRY SURVEYING �� , EDELWEISS BUSINESS CENTER SS Tender detail 16250 (600.00 CK PERSONAL Total tendered 3600,00 ;600,00 Total payment Trans date: 1 /21104 Time: 11:44:0G THANK YOU P\-\\D\ CaJOr C\-° 'V-5-)C)L-&' •