APPENDIX B
Preliminary Plan Requirement: Submit one (1) copy to the City Engineer
 
 
PRELIMINARY STEPS CERTIFICATION FORM
Brunswick, Ohio
 
Name of subdivision:
Location:                                                                               
Name of subdivider:                                                                   
Address of subdivider:                                                                
Telephone number where subdivider may be reached:                       
Agency                                                  
                     Signature
Regional Planning Commission                                                 
County Health Commissioner                                                 
County Sanitary Engineer                                                    
City Engineer                                                          
City Law Director                                                       
Electric Company                                                       
Gas Company                                                          
Telephone Company                                                       
Lending Institution