ORllER NO. 30936
FINAL PLAT OF CAMP VERDE GENERAL STORE
Came to be heard this the llt" day of August, 2008, with a motion made by
Commissioner Letz, seconded by Commissioner Oehler. The Court unanimously
approved by a vote of 3-0-0 to:
Approve the final plat of Camp Verde General Store, located in Precinct 2.
1 •'~
COMMISSIONERS' COURT AGENDA REQUEST
30~3~
PLEASE FURNISH ONE ORIGINAL AND TEN COPIES OF THIS REQUEST AND DOCUMENTS
~,,, TO BE REVIEWED BY THE COURT.
MADE BY: Leonard Odom, Jr. OFFICE: Road & Bridge
MEETING DATE: August 11, 2008 TIlVIE PREFERRED:
SUBJECT: (PLEASE BE SPECIFIC): Consider, discuss, and take appropriate action for Final
Plat of Camp Verde General Store, Pct. 2
EXECUTNE SESSION REQUESTED: (PLEASE STATE REASON)
NAME OF PERSON ADDRESSING THE COURT: Truby Hardin/Kelly Hoffer
ESTIMATED LENGTH OF PRESENTATION: 5 minutes
'IF PERSONNEL MATTER -NAME OF EMPLOYEE:
Time for submitting this request for Court to assure that the matter is posted in accordance with
Title 5, Chapter 551 and 552, government Code, is a follows:
Meeting scheduled for Mondays: 5:00 P.M. previous Tuesday
THIS REQUEST RECEIVED BY:
THIS REQUEST RECENED ON: na,
All Agenda Requests will be screened by the County Judge's Office to determine if adequate information has
been prepared for the Court's formal consideration and action at time of Court Meetings. Your cooperation
will be appreciated and contribute towards your request being addressed at the earliest opportunity. See
Agenda Request Rule Adopted by Commissioners' Court.

reg3

S~P~ E 4 ?~
x
CO4n~y pl ~~
Kerr County Road & Bridge
4010 San Antonio Hwy
Kerrville, Texas 78028


TO: COMMISSIONERS COURT
FROM: LEONARD ODOM
DATE: August 4, 2008
RE: Camp Verde General Store
This is a 2-lot Commercial Subdivision for the Camp Verde General Store.
The well and septic are on Lot 1. Note #5 states, " No Residential Construction on Lot 2."
At this time we ask that you approve the Plat as presented.
Th
camp verde 2
06/11/2008 10:21 8308968481
]tOYJ7'ING SLII'
KERB COUNTY R&B
A.PPE1~lfX H
PAGE 01/01
office arse orgy
,Date Received by R&B
Kerr County Application for Final Plat of a Sabd'rvisioo
Name of Subdivision: • ~'~ ~ ~~ ~~ ~~(~(~C.~ ~ ~ O ~
Location of Subdivision: ~~w 1~~3 ~ ~ ~ ~~ ~ Precinct ~ 2
Owncr/Developcr: C~rni~ Lo-~-~--~ ~ ~ ~S ~Q"' ~~L phone a ~ ~3`'t! 2~7~.
Q,,,~~..~a} Phone ~ ~S7- 3°o3~i
Surveyor. ~~ r ^~ ~~~~-~^
Is this part of an existing subdivision? Yes ( ) No (~
If yes, Name:
Volunne ~, Page ___.
AGENDA DATE REQUESTED: J
person{s) appearing before Cornznissioners Court: ~~~ ~~" `''~'"` ~"'r
t. Final Plats are to be submitted to the Kerr County Road & Bridge Office, for Review twenty
one (21) days prior to next Commissioner's Court Date.**
~~ ~~r~ o ~
Received by:
Date
2. Copy of Fugal Plat to County Clerk and arrange for payment of fees per Kerr County
Subdivision Rules & Regulations.
Q ~-~-~~
Amount Pand $ LP~• 0 U Received by: (Coon Clerks Office) a
• 36 •U b TGt~c ~ •
3. Kerr County Environmental Health [ Septic pernoit
Fee Amount Paid $~~. Received by:
~'~• ~ ~ ~1 ° ~ Dau
** You must then COMPLETE this form and return it to the Kerr County Road 8c Bridge
Office Fifteen (15}days before Comrnissionot's Court Agenda Date.
Kerr Covnty Subdivision Rules & Regulations
Appendix • Page l3
~-
_ APPE1~7?IX H
Office Use Qnly
RQUTIIRN~ SLIP Date Received by R&B
Derr County Application for Preliminary Plat of a Subdivision
,~ Preliminary Plat [ j Preliminary for Revision of Plat
Name of Subdivision: ~~~.1m,~ VG~`~I~ ~7e~t~~"~ ~~r~
Location of Subdivision; vet Li ('7 3 f ~ ~ L! ~~ d Precinct # ~
~ ,
Owner/Developer: ~:c~-rn~ ~ b~' ~! f ~ S ~jroT ~-Phone 3D ~- 1~9`72-
Surveyor: ~GC~'t/ ~rct.` C~~17d~/Tq Phone 8~~ Z57 -38v
Is this part of an existing subdivision? Yes ( ) No (~1}
If yes, Name: Volume _, Page _.
AGENDA DATE REQUESTED: ~i~7„~~
AGENDA DATE REQUESTED FOR PUBLIC FEARING:
Person(s) appearing before Commissioner's court: (~lCt,c~t~ ~jl"~irlGte~'l~y T~
1. Submit eleven (11) copies of Plat and two (2} of the Drainage Study to th~ Kerr Co'ttn~ Road
& Bridge Office, for tteview twenty eight (28) days prior to Commissioner`s Court Date.**
Received by: ~' ~a~L~~~- ~ , ~ ~ ~ ~
(Kerr County Road ~ Bridge Office} Date
2. Submit oz~e (1} Copy of Preliminary Plat to County Clerk and arrange for payment of fees per
Kerr County Subdivision Rules & Regulations.
'~ Preliminary Plat [ ~ Preliminary Revision of Plat
Amount Paid $.~0. da Signature: S/~/~
(Co ty Clerks e} ate
3. Submit orie (1}copy of Preliminary Plat to Kerr County Environmental Health
[ ~ Permit application and support data for On-site Sewage Facilities
~a o
Fee Amount Paid $ Received by: V V 1. ~ ~~ ~
~ ~1 ~ ~ ~, ~ c~ (OSSF O is Date
(l of 2}
Kerr County Subdivision Rules & Regulations
Appendix -Page 14
r~~,..rPS~.e ~ Qni~nnst TAX C'F RTIFICATFy o x.15 ~ 1 PAGE O ~. O ~
Diane Botin Assessor-Collector
700 Main Street, Ste. 124 O 0 6 O
County Courthouse
Kerrville, TX 78028
Ph: (830)792-2243 Fax: (830)792-2253 O
i
This certificate includes tax years up to 2007 ~
- Entities to which this certificate applies:
iRLT -Lateral Roads GKR -Kerr County
WHU -Headwaters Groundwater Conservation District UGR -Upper Guadalupe River Authority i
Property Information Owner Information
Property tD :0045-0101-001200 Owner IDD~9 ,
Quick-Ref ID : R12853 'r ~0 , i
Value Information /CAMELOT HILLS GROUP, LLC I
Not Available %FULBRIGHT & JAWORSKI, LLP '
OLD CAMP VERDE RD P.O. BOX 91079
SAN ANTONIO, TX 78209
ABS A0045 BETNER, SUR Ownership: 100.00%
101,BLOCK (ACROSS RD,
SOUTH OF CAMP VERDE
STORE),ACRES 1.34
i
I
I
i
j This Document is to certify that after a careful check of the Tax Records of this Office, the following Current or Delinquent Taxes, Penalties, and Interest are I.
due on the Property for the Taxing Entities described above: I
Entity Year Tax Discount" PS<I Atty Fee TOTAL 11
GKR 2007 120.33 0.00 0.00 0.00 0.00
RLT 2007 10.18 0.00 0.00 0.00 0.00
UGR 2007 8.54 0.00 0.00 0.00 0.00
WHU 2007 2.48 0.00 0.00 0.00 0.00 j
Total for current bills if paid by 8/31/2008: $0.00
~ Total due on all bills 8/31/2008: $0.00
2007 taxes paid for entity GKR $120.33
2007 taxes paid for entity RLT $10.18 i
2007 taxes paid for entity UGR $8.54
2007 taxes paid for entity WHU $2.48 ,
2007 Total Taxes Paid : $141.53
If applicable, the above-described property is receiving special valuation based on its use. Additional rollback taxes that may become due based on the
I provisions of the special valuation are not indicated in this document.
This certificate does not clear abuse of granted exemptions as defined in Section 11.43, Paragraph (i) of the Texas Property Tax Code.
_ _ - ~ _-1
Date of Issue 08/07/2008
Requestor CAMELOT HILLS GROUP, LLC
Ref. Number 2008-61125-KERR
i ~ C Fee Paid $10.00 ~
Signature f Authori ed Offic of the Tax Office Payer Andiamo Builders LLC
Page 1 of 1
;,,alt Taxi Yea}'
2G07
TAX CERTIFICATE
,ssued By:
Kerrville Independent School District Tax Office
329 Earl Garrett
Kerrville, TX 78028
Owner ID: 569209 100.00%
CAMELOT HILLS GROUP, LLC
%FULBRIGHT & JAWORSKI, LLP
P.O. BOX 91079
SAN ANTONIO, TX 78209
Prty lnfinrmati ;"'~ ~ _, `~`
Property ID: 69034 Geo ID: 0045-0101-OOi310
Legal Acres: 2.0100
Legal Desc: ABS A0045 BETNER, SUR 101,BLOCK (AROUND CAMP
VERDE STORE),ACRES 2.01 c
Situs: OLD CAMP VERDE RD ' °
DBA:
Exemptions: .___ _. _.. ~
__
-For Entries `;~_ _ - _ , :;- Vai~@ ~#orrit~ticx~l' ,; i' '' ~-.~
.CENTER P©INT LS.D. Improvement HS' 0 f •.i.
'Improvement NHS:	0 -~
Land HS:	0'~
Land NHS:	16,080'rn
', Productivity Market:	0
'Productivity Use:	0
:Assessed Value	16.080 ~"~

::
CurrentlL?etinquent Taxes.... r :.: ~. :..:
This document is to certify, that after a careful check of the tax records of this office, the following current or delinquent
taxes, penalties, and interest are due on the property for the taxing entities described above.
Year Entlty Taxable Tax Dtae Disc.JPR# Attorney tea: Total
Totals: 0.00 0.00 0.00 0.00
Effective Date: 08/07/2008
Total Due if paid by: 08/31/2008
FIL~~D REC~ED
At o'clock M
STATE OF'1'EXAS
COIJN'1'Y OF KERR
Tax Certificate Issued for: Taxes Paid in 2007
CENTER POINT I.S.D. 176.88
P`pF NENgC,
'~~oOa4' AUG 0 7 2008
1 hereby certify that this instrument was tiled in the file numbenxl
sequence on the date and [irne stamped beroon by me and was drily
recorda;d in the (}fficial Public Retords of Kerr County Texas.
J Pieper, rrCounryClerk
Deputy
0.00
' ~,,a ~ ~,V ''~;,-
.~' ,, ;. ,
•~~ [ s~'
If applicable, the above de'!¢ribed property i Ceivin special valuation based on its use. Additional rollback taxes which may become
due based on the proviSiCrJs bf"special va cation a~te~y not indicated in this document.
This certificate does not~arafwse grant exemption`s as defined in Section 11.43 Paragraph(1) of the Texas Property Tax Code.
} ..
May Be Subject to Ct~tCos sif.,~if'is Penclin~` • Date of Issue: 08/07/2008
,~, Requested By: CAMELOT HILLS GROUP, LLC
j '.. ~.. Fee Amount: 10.00
` ~ , ~ Reference #:
n:___a...._ ,c ~..a~..._:_,,,, „__ _a n_u__a:__ nm:.. ~ Paae~ 1 OF 1
ORDER NO.3 0 8 74
PRELIMINARY PLAT OF CAMP VERDE GENERAL STORE
Came to be heard this the 9th day of June, 2008, with a motion made by
Commissioner Williams, seconded by Commissioner Baldwin. The Court
unanimously approved by vote of 4-0-0 to:
Approve the Preliminary Plat of Camp Verde General Store, located in Precinct 2,
including the note that would preclude a residence dwelling being located on Lot 2.
30~~y
/. 7
COMMISSIONERS' COURT AGENDA REQUEST
PLEASE FURNISH ONE ORIGINAL AND TEN COPIES OF THIS REQUEST AND DOCUMENTS
TO BE REVIEWED BY THE COURT.
MADE BY: Leonard Odom, Jr. OFFICE: Road & Bridge
MEETING DATE: June 9.2008 TIME PREFERRED:
SUBJECT• (PLEASE BE SPECIFIC): Consider, discuss, and take appropriate action concerning the
Preliminary Plat of Camp Verde General Store, Pct. 2.
EXECUTIVE SESSION REQUESTED: (PLEASE STATE REASON)
NAME OF PERSON ADDRESSING THE COURT: Leonard Odom
ESTIMATED LENGTH OF PRESENTATION: 10 minutes
IF PERSONNEL MATTER -NAME OF EMPLOYEE:
Time for submitting this request for Court to assure that the matter is posted in accordance with
Title 5, Chapter 551 and 552, govenunent Code, is a follows:
Meeting scheduled for Mondays: 5:00 P.M. previous Tuesday
THIS REQUEST RECEIVED BY:
THIS REQUEST RECEIVED ON:
All Agenda Requests will be screened by the County Judge's Office to determine if adequate information has
been prepared for the Court's formal consideration and action at time of Court Meetings. Your cooperation
will be appreciated and contribute towards your request being addressed at the earliest opportunity. See
Agenda Request Rule Adopted by Commissioners' Court.
-~wr
reg2
~~P~E Q~~
x
c~uRb o~ ~a
Kerr County Road & Bridge
4010 San Antonio Hwy
Kerrville, Texas 78028
TO: COMMISSIONERS COURT
FROM: LEONARD ODOM
DATE: June 3, 2008
RE: Preliminary Plat of Camp Verde General Store, Pct. 2
This is a commercial plat for the Camp Verde Store. It is a 2-lot subdivision with the lots sizes
being 3.42 and 1.34 acres.
The Environmental Health issues have been resolved.
At this time we ask you to consider this preliminary plat.

Th
camp verde store
t

APPEI~TI?LX H
Office Use Only
ROUTING SLIP Date Received by R&B
Kerr C©unty Application for Preliminary Plat of a Subdivision
Preliminary Plat [ j Prelimi^niary for Revision of Plat
Name of Subdivision: (~,yn~ VLY'd~ (~eh~°~~ J7~r~
Location of Subdivision: ;~ vet ~ [ 7 3 f f-~ vns ~! ~ ~ Q Precinct # Z
'(T
Owner/Developer: C;ctri'1e~b~"" t-f t~ f (S ~roL~~~-Phone 3C 63~ - 2`~`72-
Surveyar: ~~~~ ~E~ ~~t7 b~~- Phone 83~ z5 7 - 3~ 3
Is this part of an existing subdivision? Yes ( } No (~d}
If yes, Name: Volume _, Page _.
AGENDA DATE REQUESTED: ~,t~,Q, Gj
AGENDA DATE REQUESTED FOR UBI,I~C DARING:
Person(s) appearing before Commissioner's Court: ~~,~-~ ~~at.l'tQP~I ~~' i'G{
~ [ ec
1. Submit eleven (11} copies ofPIat and two (2} of the Drainage Study to the Kerr County Road
& Bridge Office, for Review twenty eight (28} days prior to Commissioner's Court Date.**
Received by: ~. ~.~~ J~ ~ ~ ~ ~
(Kerr County Road & Bridge Office) Date
2. Submit one (1} Copy of Preliminary Plat to County Clerk and arrange for payment of fees per
Kerr County Subdivision Rules & Regulations.
`~Oj Preliminary Plat [ ] Preliminary Revision of Plat
Amount Paid $•?Q do Signature: S/~/~
(Co tY Clerks O } ate
3. Submit one (1} copy of Preliminary Plat to Kerr County Environmental Health
[ 1 Permit application and support data far On-site Sewage Facilities
Fee Amount Paid $ Received by: U V 1, ~ ~
~ 3„ ~ ~ ~ c,2 (OSSF O ~c Date
(1 of 2)

Kerr County Subdivision Rules & Regulations
Appendix -Page 14
4. 9l I STREET NAMES (if applicable}: Kerr 9 .preliminary, and sign final plats.
Signs, Jr-Z~- D ~-
(9t I Office) Date
5. If Platting includes any utility easements or changes to an existing easement notification of
the Utilities involved are required far Preliminary Plat. Utility shall give
Surveyor/Engineer easement notes required.
1. Electric Utility: _
2. Telephone Company:
(This shall be added to Final Plat if Mylar applicable) Fax copies acceptable.
6. If Platting has access to a Texas Department of Transportation Roadway a copy of
Preliminary Plat must be reviewed by the TXDOT Engineei, Signature on this form
indicates receipt of Preliminary Plat, sign mylar for final approval.
Signature: `~ S-- Z3- ~'-r~C~
OT Eng' s Office} Date
* * You must then COMPLETE this form and return it to the County Engineer Fifteen (1 S)
days before Commissioner's Court~lgenda Date.
(2 of Z}
.. Kerr County Subdivision Rules & Regulations
Appendix -Page 15
oSiMay.27. 20081 10:19AMo4soTexas Land Boundaries No, 8818 GP. 2zioooz
..
e
i
1 4. 911 STRBEI`1VAMFS (if applicabie): Ketr 911 will raviiew preliminary, and sign i`inal plsis,
~ Sigrraturc;
(911 Offtoe) !fie
S. if Platting includes arty utility easements ar changes to an existing easement natificsti~ of
. fire Utilities involvod are requited far Preliminary Plat. Utility shall give
SurveyodBngine~ easetnetrt
1. Electtio Utility: ,
l 2. Tai ane Com
~ ~ l~Y~
f (This shall be added to Fitlal Plat ifMylar applicable) Fes copies acceptabie_
I
s
t ~ _ ~ :.1
{ b. if Blattiag ~as~~ss to a Texas Department of Transppp ltsadvvay a copy of
Pr+~oio~ry i'IitE;naust be reviewed by the TJiDOT.Engirig~r::: $i;®ueittre on ties form
. indicates re~ipti of Preliminary Plat; giga mylar fnr final approval:
1 ... Signattue: ~...
. ~ (TJ~oT..B'a Q86ae) 13am
' ~`; Yore nrve:t then CQblPLliT'E thr~ foe~n evtd etedaye ii m the Cowry ,F~igimer Fifteen (1 SJ
da}+x`befoere Cbirnrtaeioexer's Caiee7~fgeirder Date.
(2 of 2)
KQr Canty Subdiviaiou Rnlea $
Ada -Page IS
~tttNr+
May, 28..2008 11:42AM Texas Land Boundaries No, 8839 P, 2
~ . 4~ 9! 1 SIREE~' Z3,AIv~S (if appL'[cabl~): Kcrr 91 I wi~1 ravkew preiuoai~ary; grid sign, final plats, ~ .
Sigr~abuce:
~(9k1 Oi~ce} p~
i
4 5. kfPlafting includes any a~tility easego-ents or c~xges ba ~ existing easemedt ~ati~icafic~ of
rho Utliicies lgV4lvod ®rC tt[k~ fir Pi+el~sry Plat Utility sbail give
' S11Ney~o[/I~AgiIIe~t' C85~le~t t10t~.4 tec~ttired.
i. Elactt~c T3ti{aty-., ~ ~ .
~ Z. Telephony Compan~+: ~ ~ 1
(Thos shall be added tia Final Plat if Myisr appiicabit) Fnx copies ecceptabt~
' ~ 6. IfFZtg has~access ~ a Texas D~epatt~oaez~t of Traaspg~ctalap Rr~3way a copy of
~ Prelmviipary,Plat~~~ be z~•*'viewed by the T'~~DC)T.Engiheer; :~~igriatute am #us farm
iz~c~es receipt ~rf Pretlminary PIaF, sign sa3'ler £os $aa1 approval. ; .
$ - -- -~ ..
:~ ~ {TXD4T~l~at~aee~'s~tSPfice) Date .
! ~ ~ ...~
i
*~ Yov reed then COMPLE7'~ this form ar~d return it !v the Com~[y E~rgyroeer Fifteen (I S)
d(Z178'T1R .CO?ltAilS~07zBt'$ COtllte'~g&I~~B.
:j
(2 of Z)
1~esrCouutY Subdivisiar~ltu4~ 8: Liegraiadans
Ap~eudix -Page .1S

~~RR ~0-UNTY
Environmental Health Depaartment
Courthouse, 700 Main, Suite f~A-106
Kerrville, TX 78028
Phone: (830) 896-4020 FAX: ($30) 792-4903
E-mail: envhealth~?aco.(cerr.tx,us
k'.A~CSIIV,I)[LE TRAN~~ITTAY,

Date: June 3, 200$ No, Pages (Including Cvver): 3
To: Truby Hardin
Comptzny/Title: ~e~ Opunty load &. Bridge
F~'x Nn, Auto Dial
Phorte Na.:
Ext.:
From, Tish Hulett, OSSh' Desi Hated Re resentative, Kerr Count , OS 18771
Fax No,: X830} 792-4903 Phone No.: (830) $96-9021
Confdenttallly Notice: The doCttmernts accompanying this,fac,4imtde 7ronsmission contain eonfidentldl information whlCh is legally privileged
ahd intended only for th¢ ust of the recipient named above. We request immediate notlJictxtton by aelephone of mtsrouted facsimile trgrtxmfsslon
so that we can prrRnge for return ojthose dpcsrmgnts to us. jyou recetve thts,facsimile in error, you ant hereby notified that any disclosure,
copying, dtslrtbutton or taking ojany action in retlanCe Un the contents Of thts,faCS1m!(e IS strictly prphlbtt¢d
Mi CBSa~@:
p.E: Carnp Verde General Store
Truby:
The attached,Qbandonment of Easements was dropped o~'~'this morning. This satisfies our
requirements.
1?lease let me know if you have any questions.
Tish

004263
~ { s~n~ o~ x,s
c cacn~r a~
ABANDONMENT OF 1=ASEMENTS
COPY
RECEIV~a
rI ri,1 ©2008
~.'`
~~~~~
RNC7~ A7 T. M~Di H1* ~~ PLQE$FN'1':
The easements sought to be abandoned is described as foltaws=
t=ASEMENT QNE
And
EA3ElV1ENT TWO

Bp#h easements being more particularly described in Volume 1593, Page 0435,
of the official Public Records of Kerr County, Texas.
Said easements #o be abandoned In chronological sequence as follows;
EASEMENT ONE to be abandoned immediately anti simultaneously with the
recording of this dacumerrt at the office of the County trlerk of Kerr County,
Texas.
EASEMENT TWp #o be abandoned immediately and simultaneously with the
recot~ding of this document at the office flf the County Glerk of Kerr County,
Texas.
BEFORE ME, the undersigned authority, on this day personally appeared
Felipe,limen®z, President of CAMELOT MIt"L5 GROUP, LLC
(hereinafter referred to as "AfFiant"}, known to me tv be the person
whose name is subscribed hereto and after being first duly swam by me, did an
this oath depose and say;
Pursuant to tha# certain Easement dated February 2$, 2Q07, filed for record in
Office of the County Cferk of Kerr County, Texas under County Clerk's Fle
Number Q2770 and recorded in the Official Public Records of Real Property of
Kerr County in Volume 1593, Pg. 0435 (the "Easement"},

That EASEMENT ONE does not contain any active utility lures and is not
currently used to provide utility service to the public.
That EASEMENT TWC7 does not contain any active utility lines and is not
curr®ntly used #a provide utility service #o the public.
AFFIANT:
Felipe lea; Presid o S GROUP, L1..C
~~~ ~'~ ..ALA/~~~~
z
THE STATI; Ql= TEXAS § ~ ~ s ~
COUNTY 41= KERR § ~ 'qty of ~~~~
~~., ~xFlr:c~? j0
This instntment was acknawle ~' ~' this, ~~ day c~ ~~ , .
2048, by
.-° Notary Pub in an far the State of exas
Printed ma a# Notary
My commission expires: ~~~~ C~ ~ ~
~e~Urn io'. )ti~2 ~~ m2Y1~Z ~
P:~ , ~3ax ~ r a '7~
~ ~ ~.~~ ~~ T,~
~~ .~o~

~~~i~~ V V
JUN 0 2008
~~~~~
Al k' AND kkC f~r_i)
q ctcck M
S"rA'YY, OF '1'f iXA 5
COl!N7'Y pl° Ktdlttt
xe'~~
r.
`~o ~ JUN 4 3 ZOQ8
I hereby exrtify ihm this inswmem wxs hkd in the tic numl/cfCd
acyutnca as the Wste xnd tii~C seaxrpl:d ha:rnuc b7 me wi; w:u filly
rr-eurdnd in the Ofti 'av F is Recurds ui' Kcrr Cwoty 7 c,tes.
,1' Cti ert f;punty ~1Cf1C
y ~-~_ u~}xitr
.APPENDIX H
ROUTING SLIP
FOR
KERB COUNTY ALTERNATE PLAT PROCESS
Name of Subdivision: C~;.c~,~,.~~ ~~ ~~C" t_7~ ~~~ t ~ ~ '> t C r ~ Volume _ Page _
Location of Subdivision: ! `'~. vv y 1 i ~ ~ i y~ y ~C t; ( Precinct # ~"^.~
-r-
OwnerlDeveloper %~~ -, Y_R ~~. ~ c ~ `~ `~ ~. `~~'~` ~~ ~ ~` ~ ~ ~= t_ i.. C_. Phone #{~ ;~ 4 > ~ _ ~_ ~ <_-
- -
Sllrveyor ~~~ ~{.t~ ~ % e L v\ C~~ ~ ~ ,.~1 ~ ~ Phone # ~)~'
c5 t:~1.TT~l,~ T~l~'T'~ T(1 l~T1tFC~1.TT T'fl !v'(li TT~T R. C~'T Ul iR1 lr f--iF 4 i~l?~(;
AGENDA DATE for PUBLIC HEARING and FILIAL APPROVAL ~ ~~
(First Available Court Date after 3t) day time frame for Public Hearing)
Persons?appearing before Commissioners Court .___~
I } Submit two (2} copies of Plat to the Kerr County Road & Bridge C)flice for review. 7~en { I O)
working days prior to Commissioners Court Date. R&B ~~i11 forward one (I }copy to tl7e
Commissioner of the precinct.
Received by~~„~ .~itd.~~_.- _~~~~~
Kerr County ad ~. Bridge Office Date
2 j Submit one (I} copy of the Plat to County Clerk along with Taa Certificates and arran17:e for
payment of fees per Kerr County Subdivision Rules & Regulations, APPENDIX F.
(Clerk is located on the main flvr~r of the Courthouse, %00 Main, Kerrvillc>).
Amt. Pd g d O. DO_ Received b~~~? o~~~6nn,~~ 1 ~~ '~~` ~l
Date
3) Submit one (I) copy of the Plat to OSSF.
OSSF is located in the lower le>>el of the Courthouse, 700 ,~~lain, Phone n X596-90?t1
[ ] Permit application and support data for On-Site Sewage Facilities
Amt. Pd $~ Received ~~---
Date
(1 of 2}
Kerr County Subdivision Rules c~ Regulations
Appendix - Pale 16
~) If Platting includes any utility easements or changes to an existing casement. this Plat should
be reviewed by the appropriate utilities companies. Signature indicates receipt of the Plai
only. Utility shall give Sur ~ dmii ~strator easement notes required.
al Electric ~!tility _ ~~-'~~_ ~
b) ~f,elephone Company
("This shall be added to Fi al Plat if My1ar applicable)
Fox cn/pies of~thc .~~rgncrltn-es crrc~ ~c~ce~?tahlc~. Rc~ B F'AX # 830-896-8~$
5) If Platting has access to a Texas Department of Transportation Koadwav, a copy cif the !'lat
must be reviewed by the ThDOT Engineer. Si~anature on this form indicates receipt oC Plat
only, sign mylar for final approval.
T_~'T>OT i.c localcd ctl 1 b'3Z Siclrreti~ 6crkc~f• i'~~., Ke~°rrille. I'hoj~e # x3(J-? ~ ~'-h'-~-1-1
_,
Received bv: ~,~.~ ~ ~R~1:.a ~„ `` a'_ Z `. `~
Dale
"I~his completed form and 10 copies of the Revision of Plat must be returned to the Road K.
Bridge Office (10) working dav_ s before Ccnnn~issioners Court Agenda Date of Public Hearing
and t~~inal Approval of Plat.
This ~~ivcs the Surveyor/Engineer over 30 days hetween the first plat revieuv date and the final
approval to make amp changes and/or corrections recommended by the RIB Administrati~r ur
the Court.
(? of 2)
Kw~r C~wnt~ 5ubdici>ion Kulc~ cX Itcgulati~~ns
~lppcn~ix - Pyre 17
Official Receipt (Original) Printed on 03/05/2008 at 12:57 pm
Jannett Pieper ~
Kerr County Clerk ~~ Receipt Number : 11798
700 Main St. Rm122 Date Paid : 3/5/2008 12:57:OOPM
Kerrville, TX 78028 ~ User: Cheryl
Payment No:7747 Paid Amount :20.00
Payment Type:Check Payment Check No :6551			
Cost Code	Type	Amount Owed	Amount Paid	Balance Owed
Instrument; Daily Non Cases Fees	Inst Type:		Book:	Page:
RECORDS MANGEMENT	CL	5.00	5.00	0.00
COURT HOUSE SECURITY	CL	1.00	1.00	0.00
RECORDING FEE	CL	25.00	14.00	11.00
RECORDS ARCHIVAL	CL	5.00	0.00	5.00
RECORDING FEE - $10	CL	20.00	0.00	20.00
	Totals	56.00	20.00	36.00
Payment No:7748 Paid Amount :36.00
Payment Type:Credit Card Payment Credit Card No			
Cost Code	Type	Amount Owed	Amount Paid	Balance Owed
Instrument;, Daily Non Cases Fees	Inst Type:		Book:	Page:
RECORDING FEE	CL	11.00	11.00	0.00
RECORDS ARCHIVAL	CL	5.00	5.00	0.00
RECORDING FEE - $10	CL	20.00	20.00	0.00
Totals 36.00 36.00 0.00
Paid By : Andiamo Builders, LLC
Payment Remarks : Camp Verde General Store -Plat Fee $20/Tax Cert - Original Balance : 56.00
$36.00 Amount Paid : 120.00
Amount Applied : 56.00
Change Returned 64.00
,y

Issue Date :3/3/2008 _ TAX _CERTIFICATE
_._ _ _
Diane Bolin Assessor-Collector j
700 Main Street, Ste. 124 j
County Courthouse
Kerrville, TX 78028
Ph: (830)792-2243 Fax: (830)792-2253
This certificate includes tax years up to 2007
Entities to which this certificate applies:
GKR -Kerr County
RLT -Lateral Roads
UGR -Upper Guadalupe River Authority
WHU -Headwaters Groundwater Conservation District
Property Information ~ Owner Information
Property ID :0045-0101-001200
Quick-Ref ID : R12853
OLD CAMP VERDE RD
ABS A0045 BETNER, SUR
101,BLOCK (ACROSS RD,
SOUTH OF CAMP VERDE
STORE),ACRES 1.34
Value Information
Land HS	$0.00'
Land NHS	$33,500.00',
Imp HS	$0.00
Imp NHS	$0.00
Ag Mkt	$0.00
Ag Use	$0.00
Tim Mkt	$0.00
Tim Use	$0.00
HS Cap Adj	$0.00
Assessed	$33,500.00
....._._._______._.. _....
Owner ID :00024399
CAMELOT HILLS GROUP, LLC
%FULBRIGHT & JAWORSKI, LLP
P.O. BOX 91079
SAN ANTONIO, TX 78209
Ownership: 100.00%
_ .__
This Document is to certify that after a careful check of the Tax Records o this ice, e o owing urren or a inquen axes, ,
due on the Property for the Taxing Entities described above:				
Entity Year Tax	Discount	P8~1	Atty Fee	TOTAL
GKR 2007 120.33	0.00	0.00	0.00	0:00
RLT 2007 10.15	0.00.	0.00	0.00	0.00
UGR 2007 - 8.54	0.00	- 0:00	0.00	0.00
WHU 2007 2.48	0:00	0.00.	0.00.	0:00.
Total for current bills if paid by 3/31/2008: $0.00
Total due on all bills 3/31/2008: $0.00
2007 taxes paid for entity GKR $120.33
2007 taxes paid for entity RLT $10.18
2007 taxes paid for entity UGR $8.54
2007 taxes paid for entity WHU $2.48
2007 Total Taxes Paid : $141.53
If applicable, the above-described property is receiving special valuation based on its use. Additional rollback taxes that may become due based on the I
', provisions of the special valuation are not indicated in this document.
~ This certificate does not clear abuse of granted exemptions as defined in Section 11.43, Paragraph (i) of the Texas Property Tax Code.
Date of Issue 03/03/2008
Requestor CAMELOT HILLS GROUP, LLC,
__ Ref. Number 2008-56849-KERR
~l Fee Paid $10.00
Sio ure of Authorized Officer of the Tax Office Payer ANDIAMO BUILDERS LLC
© 2003 Tyler Technologies, Inc. Page 1 of 1
Issue Date :3/3/2008 TAX CERTIFICATE
__
__
Diane Bolin Assessor-Collector
700 Main Street, Ste. 124
County Courthouse
Kerrville, TX 78028
Ph: (830)792-2243 Fax: (830)792-2253
This certificate includes tax years up to 2007
Entities to which this certificate applies:
GKR -Kerr County
RLT -Lateral Roads
UGR -Upper Guadalupe River Authority
VVHU -Headwaters Groundwater Conservation District
__ __ _
I'ropei•ty lnformation ' Owner Information
Property ID :0045-0101-001300
Quick-Ref ID : R12854
285 CAMP VERDE RD E
ABS A0045 BETNER, SUR
101,BLOCK (CAMP VERDE
STORE),ACRES 1.41
Value Information
Land HS	$0.00
Land NHS	$35,250.00
Imp HS	$0.00
Imp NHS	$234,150.00
Ag Mkt	$0.00
Ag Use	$0.00
Tim Mkt	$0.00
Tim Use	$0.001
HS Cap Adj	$0.00',
Assessed	$269,400.00'
Owner ID :00024399
CAMELOT HILLS GROUP, LLC
%FULBRIGHT & JAWORSKI, LLP
P.O. BOX 91079
SAN ANTONIO, TX 78209
Ownership: 100.00%
__
,This Document is to certify that after a careful check of the Tax Records of this Office, the following Current or Delinquent Taxes, Penalties, and Interest are
due on the Property for the Taxing Entities described above:				
Entity Year Tax	Discount	P&I	Atty Fee	TOTAL
f GKR 2007 967.69.	Q00	0.00	0.00	0:00
RLT 2007 81.90	0.00	0.00	0.00	0:00
UGR 2007 68.70	0:00	0.00	0.00	' 0.00
VVHU 2007 19.94	0.00	0.00	0.00	0.00.
Total for current bills if paid by 3/31/2008: $0.00
Total due on all bills 3/31/2008: $0.00
2007 taxes paid for entity GKR $967.69
2007 taxes paid for entity RLT $81.90
2007 taxes paid for entity UGR $68.70
2007 taxes paid for entity WHU $19.94
2007 Total Taxes Paid : $1,138.23
If applicable, the above-described property is receiving special valuation based on its use. Additional rollback taxes that may become due based on the
provisions of the special valuation are not indicated in this document.
This certificate does not clear abuse of granted exemptions as defined in Section 11.43, Paragraph (i) of the Texas Property Tax Code.
Date of Issue 03/03/2008 '
( Requestor CAMELOT HILLS GROUP, LLC,
~ Ref. Number 2008-56850-KERR
Fee Paid $10.00
Sin re of Auth ized Officer of the Tax Office Payer ANDIAMO BUILDERS LLC
© 2003 Tyler Technologies, Inc. Page 1 of 1
Issue Date :3/3/2008 TAX CERTIFICATE. _ _ _
Diane Bolin Assessor-Collector
700 Main Street, Ste. 124
County Courthouse
Kerrville, TX 78028
Ph: (830)792-2243 Fax: (830)792-2253
This certificate includes tax years up to 2007
Entities to which this certificate applies:
GKR -Kerr County
RLT -Lateral Roads
UGR -Upper Guadalupe River Authority
WHU -Headwaters Groundwater Conservation District
Property ID
Quick-Ref I
_-_
Property lnfor~natictn O~i~ner [reformation
0045-0101-001310 ~ Owner ID :0566036
D : R69034 Value Information
Not Available
OLD CAMP VERDE RD
ABS A0045 BETNER, SUR
101,BLOCK (AROUND
CAMP VERDE
STORE),ACRES 2.01
WALTERS, INVESTMENTS, LP
222 SIDNEY BAKER SOUTH #305
KERRVILLE, TX 78028
Ownership: 100.00%
__ _ - __
', This Document is to certify that after a careful check of the Tax Records of this Office, the following Current or Delinquent Taxes, Penalties, and Interest are
due on the Property for the Taxing Entities described above:				
Entity Year Tax	Discount''	_P&I	Atty Fee	TOTAL
GKR 2007 57.76	0.00	0.00	0.00	0.00
RLT 2007 4.89	0.00	0.00	0.00	0:00
UGR 2007 4.10	0.00	0.00	0.00	0.00
WHU 2007. 1.19	0.00	0:.00	0.00	0.00
Total for current bills if paid by 3/3112008: $0.00
Total due on all bills 3131/2008: $0.00
2007 taxes paid for entity GKR $57.76
2007 taxes paid for entity RLT $4.89
2007 taxes paid for entity UGR $4.10
2007 taxes paid for entity WHU $1.19
2007 Total Taxes Paid : $67.94
If applicable, the above-described property is receiving special valuation based on its use. Additional rollback taxes that may become due based on the
provisions of the special valuation are not indicated in this document.
This certificate does not clear abuse of granted exemptions as defined in Section 11.43, Paragraph (i) of the Texas Property Tax Code.
Date of Issue 03/03/2008 '
Requestor WALTERS, INVESTMENTS, LP
~ Ref. Number 2008-56852-KERR
Fee Paid $10.00
liana a of Authorized Officer of the Tax Office Payer ANDIAMO BUILDERS LLC
Page 1 of 1
Through Tax Year TAX CERTIFICATE certificate #
2007 11872
Issued By:
Kerrville Independent School District Tax Office
329 Earl Garrett
Kerrville, TX 78028
Owner ID: 569209 100.00%
CAMELOT HILLS GROUP, LLC
%FULBRIGHT & JAWORSKI, LLP
P.O. BOX 91079
SAN ANTONIO, TX 78209
Property Information
:Property ID: 12854 Geo ID: 0045-0101-001300
!Legal Acres: 1.4100
'Legal Desc: ABS A0045 BETNER, SUR 101 ,BLOCK (CAMP VERDE
STORE),ACRES 1.41
!Situs: 285 CAMP VERDE RD E TX
DBA:
Exemptions: _ ..__ _ _ _
For Entities
CENTER POINT LS.D.
Value Information
Improvement HS:	
Improvement NHS:	234,150
Land HS:	0
Land NHS:	35,250
Productivity Market:	0
Productivity Use:	0
Assessed Value	269,400
Current/Deiinquent Taxes
This document is to certify, that after a careful check of the tax records of this office, the following current or delinquent
taxes, penalties, and interest are due on the property for the taxing entities described above.
T p pisc.fP&,I Attorney Fea Total Due
Year Entity Taxable ax ue
Totals: 0.00 0.00 0.00
Effective Date: 03/04/2008
Total Due if paid by: 03/31/2008
Tax Certificate Issued for: Taxes Paid in 2007
CENTER POINT I.S.D. 2,963.40
0.00:
0.00'.
If applicable, the above described property is receiving special valuation based on its use. Additional rollback taxes which may become
due based on the provisions of the special valuation are not indicated in this document. __
This certificate does not clear abuse of granted exemptions as defined in Section 11.43 Paragraph(1) of the Texas Property Tax Code.
May Be S 'ect to Cou Costs if Suit is Pending
C~Pit/1
Signature of Authori d Officer of Collecting Office
Date of Issue: 03/04/2008
Requested By: CAMELOT HILLS GROUP, LLC
Fee Amount: 10.00
Reference #:
Page: 1 OF 1
True Aukmetian, liw.
Through Tax Year TAX CERTIFICATE Certificate #
2007 11871
Issued By:
Kerrville Independent School District Tax Office
329 Earl Garrett
Kerrville, TX 78028
Owner ID: 569209 100.00%
CAMELOT HILLS GROUP, LLC
%FULBRIGHT & JAWORSKI, LLP
P.O. BOX 91079
SAN ANTONIO, TX 78209
Property Information
Property ID: 69034 Geo ID: 0045-0101-001310
;Legal Acres: 2.0100
',Legal Desc: ABS A0045 BETNER, SUR 101 ,BLOCK (AROUND CAMP
VERDE STORE),ACRES 2.01
Situs: OLD CAMP VERDE RD
' DBA:
:Exemptions: _ _ '
Far Entities
CENTER POINT LS.D.
Current/Delinquent Taxes
Value information
..Improvement HS:	0
',Improvement NHS:	0
'Land HS:	0
'',Land NHS:	16,080
'Productivity Market:	0
Productivity Use:	0
'Assessed Value	16,080
This document is to certify, that after a careful check of the tax records of this office, the following current or delinquent
taxes, penalties, and interest are due on the property for the taxing entities described above.
Year Entity Taxat~ie Tax Due Disc.lP8~l Attorney Fee Total Due
Totals: 0.00 0.00 0.00 0.00
Effective Date: 03/04/2008 Total Due if paid by: 03/31/2008 0.00
Tax Certificate Issued for: Taxes Paid in 2007
CENTER POINT I.S.D. 176.88
If applicable, the above described property is receiving special valuation based on its use. Additional rollback taxes which may become '
due based on the provisions of the special valuation are not indicated in this document. ___
_.
This certificate does not clear abuse of granted exemptions as defined in Section 11.43 Paragraph(1) of the Texas Property Tax Code.
May Be Subject to Court Costs if Suit is Pending Date of Issue: 03/04/2008
Requested By: CAMELOT HILLS GROUP, LLC
~ Fee Amount: 10.00
Reference #:
Page: 1 OF 1
Signature of uthorized Officer of Collecting Office Tom,^°~^°'°^'^~
Through Tax Year TAX CERTIFICATE certificate #
2007 11870
Issued By:
Kerrville Independent School District Tax Office
329 Earl Garrett
Kerrville, TX 78028
Owner ID: 569209 100.00%
CAMELOT HILLS GROUP, LLC
%FULBRIGHT & JAWORSKI, LLP
P.O. BOX 91079
SAN ANTONIO, TX 78209
Property Information
..Property ID: 12853 Geo ID: 0045-0101-001200
',Legal Acres: 1.3400
Legal Desc: ABS A0045 BETNER, SUR 101,BLOCK (ACROSS RD,
SOUTH OF CAMP VERDE STORE),ACRES 1.34
Situs: OLD CAMP VERDE RD ,
DBA:
Exemptions:
For Entities
CENTER PUINT LS.D.
Current/Deiinquent Taxes
Value Information
Improvement HS:	0
Improvement NHS:	G
Land HS:	0
Land NHS:	33,500
Productivity Market:	0
Productivity Use:	0
Assessed Value	33,500
This document is to certify, that after a careful check of the tax records of this office, the following current or delinquent
taxes, penalties, and interest are due on the property for the taxing entities described above.
Year Entity Taxable Tax Due DIsc.lPli~t Attorney l=ee Total Due
Totals: 0.00 0.00 0.00 0.00
Effective Date: 03!04/2008 Total Due if paid by: 03/31/2008 0.00
Tax Certificate Issued for: Taxes Paid in 2007
CENTER POINT I.S.D. 368.50
If applicable, the above described property is receiving special valuation based on its use. Additional rollback taxes which may become ',
due based on the provisions of the special valuation are not indicated in this document. __ ___
This certificate does not clear abuse of granted exemptions as defined in Section 11.43 Paragraph(1) of the Texas Property Tax Code.
May Be Subject to Court C is if Suit is Pending Date of Issue: 03/04/2008
Requested By: CAMELOT HILLS GROUP, LLC
/ - ` Fee Amount: 10.00
/ a/~`' Reference #:
(---~ Page: 1 OF 1
Signature of Authorized Officer of Collecting Office True AUtanetlan. Inc.
Official Receipt (Copy) Printed on 08/08/2008 at 2:07 pm
Jannett Pieper ,~
Kerr County Clerk ~, Receipt Number : 17187
700 Main St. Rm122 Date Paid
Kerrville, TX 78028 8/7/2008 12:29:53PM
User: Sandy
Payment No:13139 Paid Amount :36.00			
Payment Type:Check Payment Check	No :7663		
Cost Code Type	Amount Owed	Amount Paid	Balance Owed
Instrument _ Daily Non Cases Fees Inst Type:		Book:	Page:
COURT HOUSE SECURITY CL	1.00	1.00	0.00
RECORDS ARCHIVAL CL	5.00	5.00	0.00
RECORDS MANGEMENT CL	5.00	5.00	0.00
RECORDING FEE CL	25.00	25.00	0.00
Totals	36.00	36.00	0.00
Paid By : ANDIAMO BUILDERS LLC	FOR CAMELOT HILLS		
		Original Balance :	36.00
Payment Remarks : #6032 TXCERT (CAMELOT	HILLS GROUP LLC) 12:25		
PM		Amount Paid :	36.00
		Amount Applied :	36.00
		Amount Unapplied	0.00
6554
~~diama 3uiG'dezd .C'.L'Cl Wells Fargo Bank, N.A.
P.O. BOX 449
CENTER POINT, TX 7$010 37-65-1119 2/26/2008
($30?634-2972
;~~,,. ~r0 Tr~~ Kerr County Clerk ~ ««61.00
~~~}FR J~:._~.-_----- - 3 - ___T
Sixty-One and 00/100"*«««««««*,,«««««*«««««««««*«««.««««,.~««*~««««««««««««««««««««««««««««««««««««*.«««*««««««««««.««*«*««««*
_ _~__ _ ____ _ . ~c~l_L.~ h
Kerr County Clerk ,
t.'~ P~Q AUrHOAirE~ siGr~E~ ~ u«~
General Store Restaurant
ll'00655411' ~: L L L900659~:5004 293?6611'
I
z
's Official Receipt (Original }Printed on 08/08/2008 at 2:175 pm
~~~,.
vannett Pieper ^~~~~-~~,~~~
Kerr County Clerk '~ '~ sr Receipt Number : 17251
A ?00 Main St. Rm122 ~~~ Date Paid
I Kerrville, TX 78028 User: 8/8/2008 2:05:11 PM
I ~, Cheryl
~ 7F`
~'a~~~~ient No13203 Paid Amounk-61.00			
~v=--Went Type-Check Payment Check No :6554			
~t C;ode Type	Amount Owed	Amount Paid	Balance Owed
I+strunient _ Daii~Non Cases Fees s Inst Type:		Book:	Page'
~.:C~URT HOUSE SECURITY CL	1.00	1.00	0 OG __
~ ~ ~~
I?.t=~;ORDS ARCHIVAL CL	5.00	5-00	0 00 _
A
~
E-:RTIEIED GOPIES CL	_ 5.00	5.00	0.00
~
F-'.~_iORDS MANGEMENT CL	5.00	5.00	u OG
___._
~~Fi~FEE -PLATS/LARGE CL	45.00	45.00	C t;0
Totals	61.00	61.00	0 00
"aid By : Andiamo Builders			
		Original Balance ~	61.00
Payment Remarks : Camp Verde General Store Final Pla	t Fees		
		Amount Paid :	61.00
		Amount Applied :	61.00
		Amount Unapplied	0 0(I
k~E~%ll%2608 1b: '11 '8308968481 KERR COUNT'v' R&E P:~uE Nli~?1
ROUTING SLLP
APPENDYX R
~j"ice (!se C?nly
,Date Received by R&B
Ke><hr County Application for Final Plat of a Subdivision __.___._.~-
Name of Subdi't~ision: ~ ~,~ ~ ~~ ~~ ~(~~=-S~C _ ~ ~ © ~
Loca#ion of Subdivision: ~~,...~~'3 ~ (-{4.,~., ~,_ Precinct ~ ~- _
Owner/Developer: ~~,~ (o~~ ~' ~`' moo"' c...~C. Phone a 70 X34( '~~~~--
Phone ~) ~ S~- '~°o3~i
Surveyor: 'y `^ `'
Is this part of an existing subdivision? Yes ( ) No (}~'
If yes, Namo:
AGENDA DATE REQUESTER:
Volume ~, Pa$e _
carin before Corntnissioners Court: ~! w' ~~`'^ ~~"` ~"'r~ -
Pcrson{s) app g
1. Final Plats are to be submitted to the Kerr County Raad & Bridge ~~, for Review twenty
one (21) days prior to ne~'t Commissioner's Court Date.**
Received by:
DaRc
2. Copy of Final Plat to County Clerk and arrange for payment of fees per Kerr County
Subdivision Rules & Regulations.
Q ~-~`- p~
Amount Pa;~d $ LPG' D U Received by: ~~~~
• /~ _ d (Cout- Cleaks Office) e
:?6 •U d TcLx t~etT - -
3. Kerr County Environmental Health [ Septic Permit
Fee Amount Paid $~~, Received by:
Date
o~ ~~ ~)~
** You must tllcn COMPLETE this farm and return it to the Ken: County Road & Bridge
Office Fifteen (l ti} days before Cornrnissionol's Court Agenda Date.
Kcsr Counq~ Subdivision Rules & Regulations
Appendix -Page 13
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