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Nlake WE P12/Re-CS 910821Expiration Date of Plat If Not., S,~hmitted Within Mo~ths PLANNING & ZONING cOMMIsSION: 1. Petition Filed, Receipt #: ............... / 3. P&Z RECOMMENDATION: ( )APproved ( )With C/S ( )Denied ( )Tabled .... __ 4. Letter mailed to petitioner ............................ -- 5. Minutes from P&Z Meeting ............... FEES: Filing Fee Initial Construction Permit Fee Park Fund Fee ( Lots X $150.00 = Total Paid @ Final Plat NOTES: PAID $ I]0 DATE 0/~1, ~ k PAID $.__DATE PAID $ DATE $ ) Total Required @ Building Permit Inspection Water & Sewer Availability # lots A Total due per lot @ Building Permit OTHER FEES: Ce cI~ CO~CIL AC?IONS: i~/~/..bi ( )Approved C/S( ) Denied( ) Approved. Petitioner Notified of CC Action.. .............. Plats picked up by applicant for County filing .............. (date) Plats received from. applicant after County filing Volume and Page # NOTES: PLT