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Gindele, WM. ^I41vm This application shall conform in all respects to Application No, .... _ .� ..... .. ..... ........ .... . ..... :the Land Subdivision Regulations of the Planning g Board of the TOWN OF WAPPINGER. Fee Received ...: ` 'It shall be submitted in duplicate, with four black and white prints of the preliminary layout of the subdivision. By ,,:..-, 5 ^ / PLANNING BOARD OF TOWN OF WAPPINGER ......................................................... ....................................... PRELIMINARY LAYOUT APPLICATION FOR SUBDIVISION OF LAND p M :I. Proposed Name of Subdivision ... ... ° "' ..... . . ... .. .. ".. i " ...,. «� :✓„ ....... ................. .......................... ... .... .... .. ................. ............................................ 2. Location of Property .......... ....... ..... .. ..:.....................,.......................,............ TaxSection....... ........................ Bloch..... . ................ Lot(s) .:................................................................ 3e Name and Address of Record. Owner .... . .. ,t� , � '`�.. .. :�:�° ......................................... .. ........... .... . ... .. .. ... . ,... ..... ........,.° z" ... . If Corporation, give name of agent ... ....................... ................................ ...... ............................................... 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) ....... i L ..re...... G, Deed or deeds recorded in County Clerk's Office: Date .............. . ......................... Liber .... ....................... ... ........ Page ...... .............................................. , .. 7, 1 ower or have an interest in abutting property as stated on the attached sheet.. (If noire, so state) ................ :. Ba Name Address and License Number of Engineer or Land Surveyor .. . . - . s - 9. According to the Du.tehess County Soil Survey, the following, soil types are found on this property: ........ ....... ...... .... . . ....... . ............. ........ ........... . . ........ . ........... ................. 10. This property is in the _­........ ............... ...... ............. Zone. H. Preliminary Layout covers ........ .... ................ acres. Approximate number of lots --......... .........._ 12. Does owner propose to submit Final Subdivision Plat to cover entire Preliminary Layout, or file same in sections? ....... ........... .............. . ........ ............ ...... ..... ........ ez. 13. Does the Preliminary Layout cover the entire holding of the applicant? .... Y/61 11­1­11 1—— ­1 ­­ 14. Does the applicant propose to dedicate to the public all streets, highways and parks shown oil the Preliminary I Layout? ... ....... ............ ......... . —S_ ...... ..... .......­..... .... 15. Give number of acres which applicant pyoposes to dedicate to public use for park and/or playground pur- poses ..... ........ .. .... .. .. .. .... . 16. Does owner intend to request any waivers of the requirements of the Land Subdivision Regulations of this Board upon the submission of the Final Plat for approval? S.... ....... ........ ...... ........... ....... If any waivers of requirements are to be requested, list them and give reasons why such requirements should be waived. ...6,s 4.. .............. ............ . ...... . . ...... ......... ... ....... ............ ............................................ ...........I................ ..... ...... ..... ................­­........... ...... .......... .......... .. ........ ..................... ....... ...... ......................... . .... .........­­1........ .......... ............ ... (Signed) ........ ...(1vt...... ....................................... Owner By. ........ ........... . ............. ............ .............................. Dated. ....... .. ..... .. .... . .............._...... .... ..... – 2