APPENDIX D: APPLICATION FOR TENTATIVE APPROVAL OF PRELIMINARY PLAN
 
EDITOR'S NOTE: Appendix is available in PDF, click HERE
VILLAGE OF BELLVILLE PLANNING COMMISSION BELLVILLE, OHIO
Date                                          Application No.                            
1.   Name of Applicant                                                                                                            
Address                                                                                                                            
Phone                                                                          
2.   Name of Surveyor or Engineer                                                                                            
Address                                                                                                                            
Phone                                                                                                                               
3.   Name of Subdivision                                                                                                          
4.   Locational Description:   Section                            Township                               
Range                              Other                                      
(In addition, please attach copy of legal description)
5.   Proposed Use                                                                                                                   
6.   Present Zoning District                                                                                                      
7.   Proposed Zoning Changes                                                                                                  
8.   Number of Lots                                     Area of Parcel                                                    
9.   Do you propose deed restrictions?   Yes              No             
(If “yes,” please attach a copy.)
10.   What type of sewage disposal do you propose?                                                            
If an “on lot” type of sewage disposal is proposed, include a letter from the County Board of Health approving a specific type of sewage disposal.
11.   List all proposed improvements and utilities and state your intention to install or post a guarantee prior to actual installation.
 
Improvement
Installation
Guarantee
a.
b.
c.
d.
e.
 
12.   List other materials submitted with this application.
 
Item
No.
a.
b.
c.
d.
e.
f.
 
                                                                                                                                      
Applicant                              Surveyor or Engineer
 
   (For Official Use)
Date Received                                                                                                                         
Date of Meeting of the Village Planning Commission                                                                   
                                                                                                                                              
Action by Commission                                                                                                             
If plan rejected, reason(s) for rejection                                                                                       
                                                                                                                                             
                                                                                                                                             
                                                                                  
Date                                                                Chairperson