Undated
Note: This application sholl conform in all respects to Appl ication No.
iJleland Subdivision RegulatioMli of the Planning Board
of the T ) v'; ,'j !) F VV A P P I r~ G E 11 Feo Received
It shallbe submitted in duplicatE~,'N I TH FOUR BLACK AND
white prints of the prel iminary IC:lyout of the subdivision. By
Dote
:>LANNING BOARD Or- TOWN OF WAPP INGER
PRELIMINARY LAYOUT APPLICATION FOR SUBDIVISION OF LAND
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1. Pro p 0 sed Nome of Subdivision
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2 . Locat ion of Property
T ax Section
Block
Lot(s)
3. Name and Address of Record Owner
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If Corporation, give nome c)f aacnt
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4. A statement of liens, mortgages, or other encumbrances is attached hereto.
(If none, so state)
5. A statement of any easements relating to the property is attached hereto.
(If none, so state)
6. Deed or deeds recorded in County Clerk's Office:
Dote Liber
Page
7. I own or have an interest inl abutting property as stated on the attached sheet.
(If none, so state)
8. Name, Address, and License Number of i;ngineer or Land Surveyor
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9. According to the Dutchess County Soil Survey, the following soi J types are found
on this property
10. This propcrty is in the
/
Zone.
11. Prel iminary layout covelrs
Approximate number of Ilots
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acres.
12. Does owner propose to submit r=inal Subdivision Plat to cover entire Pre I iminary laYQut I
or file same in sections~ ,/ .' If _ '
13. Does the :'rcl iminary la)'out cover the entire holding of the appl icant" ';. 'f"
14. Does tho al)pl icant propclse to cledica)'o to the publ ic all streets, highways and parks shown
on the Preliminary layout',' " (f.
15. Give number of acres which applicanf" propos~s to dedicate '"0 public use for park and/or
playground purposes /1 I" /..,t
16. Does owner intend to request any waivers of the requirements of the land Subdivision ;Zegu-
lations of this Board upon the submission of the Final Pla;- for approval':~ '" /"--' ,
If any waivers of requiremcnts arc to be requested, I ist ,-hem and cive reasons why such
requiremcnh should be waived.
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