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DAWSON COUNTY FINAL PL AT Name of Plat # of Lots Property Address Tax Map/Parcel Zoning / Zoning Case No. Open Space Acreage Owner of Record (Company / Individual) Owner Address Suite/Apt City State Zip Code Applicant Name Company Mailing Address Suite/Apt City State Zip Code E-mail (for sending review comments) I hereby certify that all information provided herein is true and correct. Applicant Signature: Property Owner or Owner’s Representative Date P R O J E C T A P P L I C A N T Date: GEORGIA FP No.: Invoice: Staff Use Only Please Phase Total Acreage Major subdivision. All subdivisions not classified as minor subdivisions, including but not limited to subdivisions of six or more lots, or any size subdivision requiring any new public or private street, or extension of the local government facilities. Include this application , proof of paid taxes, the map and parcel ID number(s), and the Plat. 30534 , SIGN