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Park Place/FP-CS 910318ae Expiration Date of~lat If Not Submitted Within Months Phone: ( ) ~-~' ~:'~' Address: PLYING & ZONING CO~ISSION: 1. Petition Filed, Receipt #: 2. P&Z Date Scheduled 3. P&Z RECOMMENDATION: ( )Approved ( )With C/S ( )Denied ( )Tabled .... __ 4. Letter mailed to petitioner .............. 5. Minutes from P&Z Meeting .................................. B. FEES: NOTES: Filing Fee PAID $__ DATE Initial Construction Permit Fee~PAID $¢>~&d DATE3:~ Park Fund Fee PAID $ DATE ( p~ Lots X $150.00 =,# /~,~c $ ) Totai Paid @ Final Plat Total Required @ Building Permi~ Inspection ,. $ Total due per lot @ Building Permit $ FEES: C. CITY COUNCIL ACTIONS: ( )approved C/SI ) Denied(~/) Approved............... Petitioner Notified of CC Action ................. Do Plats picked up by applicant for County filing .............. ~ (date) Plats received from applicant after County filing Volume q//~,O_~ and Page # NOTES: PLT