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File No. ______ Amount of Fee $ ______ Date
Received. ______
Subdivision Name
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Date _______________
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APPLICATION IS HEREBY MADE to the Village of
Highland Falls Planning Board for a subdivision plat approval for
the subdivision described herein.
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I.
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a.
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Applicant's Name
Address _______________________ Tel. No.
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b.
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If the applicant is a corporation, give the
name and title of responsible officer:
Name _________________________ Title
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c.
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Land Owner
Owner's Address
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d.
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Subdivision Engineer and Land Surveyor (licensed)
Name _________________________ License No
Address _______________________ Tel. No.
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e.
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If the applicant does not own the property,
prepare endorsement at the end of this form establishing owner's authorization
of the applicant's proposed subdivision of his land.
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f.
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All communications with regard to this subdivision
shall be addressed to the following person until further notice:
Address _______________________ Tel. No.
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II.
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Proposed Site
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a.
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Metes and bounds description of the entire holding,
deed restrictions, easements, etc., are attached hereto.
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b.
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Deed or deeds are recorded in the County Clerk's
office:
Date Liber Page
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c.
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All marsh and water areas and lands subject
to periodic or occasional flooding are located on the preliminary
layout.
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d.
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All existing structures are specifically located
and described on the preliminary layout.
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e.
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The proposed subdivision is designed for the
following types of land uses.
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f.
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Do you contemplate any request for a change
in zoning? If so, describe the change.
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g.
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Are all the public open spaces shown on the
layout to be offered for cession for public use?
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h.
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How many acres are to be ceded for public park
or playground purposes?
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i.
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The site will be serviced by the following special
districts or utility companies:
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Water
Electricity
Gas
Telephone
Others
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j.
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Will the final plat be filed in sections, or
will it cover the entire preliminary layout?
I hereby depose and say that all the above statements
and information, and all statements and information contained in the
supporting documents and drawings attached hereto, are true.
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Sworn before me this ______ day of , 19___
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Applicant's Signature
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Notary Public
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OWNER'S ENDORSEMENT
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COUNTY OF ORANGE
STATE OF NEW YORK
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SS:
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being duly sworn, deposes and
says
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that he resides at
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(Owner's Address)
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in the County of __________________ and State
of
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and that he is (the owner in fee) or of the
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(Official Title)
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Corporation which is the owner
in fee) of the premises described in the foregoing application and
that he has authorized ____________________to make the foregoing application
for subdivision plat approval as described herein.
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Sworn before me this _____ day of __________, 20___
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Notary Public
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Owner's Signature
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File No. __________________Date
Subdivision Name ___________________ Section
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Chairman
Village of Highland Falls Planning Board
Town Hall
Highland Falls, New York
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Dear Sir:
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I hereby make application, as subdivider,
for Planning Board approval of the subdivision final plat designated
above. The data on the original application (A-101) are still correct
unless amended by a revised application attached hereto.
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Further, the following documents,
checked below, in proper form for recording, are attached hereto:
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Deeds of cession for public use
Storm drainage easement agreements
Water easement agreements
Other easement agreements
Deed restrictions agreements
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Subdivider's Signature
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By
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(Used by Corporation only)
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Title
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This schedule is an itemized account of the
estimated cost of public improvements to be installed and constructed
by the owner pursuant to the Subdivision Regulations of the Village
of Highland Falls Planning Board and the Village Specifications for
Public Improvements.
This estimate is prepared by the Village of
Highland Falls Planning Board in seven copies. Four copies shall be
made available to the subdivider on the occasion of the review of
the final plat. The completed endorsement and resolution shall become
the basis for the subdivider's action in obtaining a bond. The bond
shall be presented to the Village Attorney at least one week in advance
of any Planning Board meeting.
The subdivider shall present letters approving
proposed utility installations and a statement as to who will carry
out the construction, signed by a responsible official of the utility
company which has jurisdiction in the area. Such letters, directed
to the Chairman of the Planning Board, shall be received prior to
final plat approval.
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Name of Subdivision-Sec. No.
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Pl. Bd. File No.
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Date
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ESTIMATE OF COST OF PUBLIC IMPROVEMENTS
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Estimated Amount of Work
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Estimate Unit Price
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Total
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(a)
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Grading ....... cu. yds.
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@
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$.........
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$.........
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(b)
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Paving type ..lin. ft. ...wide
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@
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.........
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.........
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...lin. ft. ...wide
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@
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.........
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.........
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(c)
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Curbing .............. lin. ft.
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@
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.........
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.........
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(d)
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Gutters .............. lin. ft.
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@
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.........
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.........
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(e)
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Sidewalks .......... lin. ft.
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.........
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.........
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(f)
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Stormwater drains:
18” ......... lin. ft.
24” .......... lin. ft.
30” ........... lin. ft.
”.......... lin.
ft.
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@
@
@
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.........
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........
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........
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(g)
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Manholes ..........
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.........
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.........
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(h)
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Catch basins - single inlet ....
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.........
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.........
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double inlet ....
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.........
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.........
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(i)
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Planting screen and fence ...... lin. ft.
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(j)
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Street trees ........
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(k)
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Street signs ........
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.........
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.........
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(l)
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Monuments in place ......
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.........
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.........
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(m)
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Other (specify) .........
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.........
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.........
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TOTAL Cost of Public Improvements
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$.........
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ENDORSEMENT:
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It is hereby recommended that
the itemized account of cost in the column entitled "Estimate" as
totaled should be the amount of the performance bond required by the
Village of Highland Falls for the
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Name of Subdivision - Section No.
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and further that the 4% inspection fee to be
deposited with the Village Clerk prior to final plat approval shall
be $
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Respectfully submitted,
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Signed
Village Engineer
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PLANNING BOARD RESOLUTION:
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The Planning Board adopted the following resolution
at a meeting held :
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RESOLVED, that the Planning Board Chairman be
authorized to sign the Performance Bond Estimate, dated _____________
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for indicating its approval in
Name
of Subdivision--Section No.
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the amount of $ _________ ; and further, that
the 4% inspection fee to be deposited with the Village Clerk prior
to final plat approval shall be $ _________
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PLANNING BOARD
Chairman
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A.
Offer of cession for public use.
Drawing legend note:
The subdivider has irrevocably offered to cede
title to the Village of Highland Falls for the land areas noted for
streets, widening of streets, rights-of-way and for easements, and
other lands designated on the plat as "Offered for cession to the
Village of Highland Falls," and has filed with the Village appropriate
documents to this effect.
B.
Conformance with zoning regulation.[1]
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Drawing legend note:
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This is to certify that all lots and parcels
shown on this subdivision plat comply with the requirements of the
Zoning Ordinance of the Village of Highland Falls and are suitable
for development under the provisions of that ordinance.
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Subdivider's Signature
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C.
Planning Board approval certification.
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Drawing legend note:
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This is to certify that this subdivision plat
dated _______________ has been approved by the Village of Highland
Falls Planning Board by a resolution of approval dated __________
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By
Planning Board Chairman
Signature Date
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D.
Utility company letter of approval.
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Chairman
Village of Highland Falls Planning Board
Town Hall
Highland Falls, New York
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Re
Subdivision
Name
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Final Plat Drawing dated
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Public Improvement and Utilities Plan Dated
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Dear Sir:
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Review of these drawings indicates that the
provisions for utility service improvements related to our system
are well designed. Therefore we plan (or do not plan) to install these
utilities and provide service as it becomes necessary in conformity
with the provisions in our filed rate schedule.
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Yours truly,
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Company
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by
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Position
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E.
School Board letter of acknowledgment.
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Chairman
Village of Highland Falls Planning Board
Town Hall
Highland Falls, New York
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Re:
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Subdivision Name
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Dear Sir:
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The subdivider of the above-named subdivision
has advised our Board that it contains a total of ________ residential
building lots. For your information the following situation exists:
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School facilities are (or are not) available
for the prospective new pupils from this subdivision. The Board is
(or is not) taking action to acquire a new school site in this subdivision
or its vicinity.
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Yours truly,
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School Board
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by
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Position
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F.
Letter of approval for proposed construction on state
and County rights-of-way.
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Chairman
Village of Highland Falls Planning Board
Town Hall
Highland Falls, New York
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Re:
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Subdivision Name
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Final Plat Drawing dated
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Public Improvement and Utilities Plan and Profiles
Dated
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Dear Sir:
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We have reviewed the proposed subdivision indicated
above and find that the proposed construction on the rights-of-way
within our jurisdiction is in good order on the drawings dated above.
We are prepared to issue the necessary permits on this work when the
final plat has received approval from your Board.
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Yours truly,
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Office
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by
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Position
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