APPLICATION FOR PRELIMINARY PLAN APPROVAL Brunswick, Ohio No.: Name of subdivision: Location: Name of subdivider: Address of subdivider: Telephone number where subdivider may be reached: Application is hereby made for approval of the Preliminary Plan. The following documents are made a part of this application: a. One copy of the Preliminary Steps Certification; b. Sixteen copies of the Preliminary Plan including a Vicinity Map; c. Any other data the Secretary deems necessary. Action by the City Council and City Planning Commission should be sent to: Name: Address: Respectfully submitted this day of , 19 . Signed Number of lots Preliminary Plan fee City Planning Commission action: Approve , Approve conditionally , Disapprove City Council action: Approve , Approve conditionally , Disapprove By Resolution No. Comments: _________________________________________________________ _________________________________________________________ Date: Chairman of Planning Commission Copies to: City Engineer Division of Permits and Inspections County Sanitary Engineer Applicant (2) Planning Commission |