APPLICATION FOR MINOR SUBDIVISION APPROVAL
Town of Culver, Indiana
APPLICATION NO:______
Date Filed:______________
Plan Commission Action on Minor Subdivision:___________________________________________________
Date Applicant Notified of Action:_________________
Date Plat Recorded:______________
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I (We) do hereby apply for Minor Subdivision approval of the following described property in accordance with the provisions of the Town of Culver, Indiana Subdivision Ordinance.
1. Name of Subdivision:______________________________________________________________________
Section__________________Township_________________Range________________________________
Area (acres)___________________No. of Lots_________________Avg. Size_______________________
Number of feet of street right-of-way to be dedicated___________________________________________
2. Property Owner(s)_________________________________________________________________________
Address___________________________________________________________Telephone_______________
3. Developer________________________________________________________________________________
(If other than owner)
Address___________________________________________________________Telephone______________
4. Land Surveyor preparing the Plat_____________________________________________________________
Address___________________________________________________________Telephone______________
5. Legal description of property__________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
_______________________________________
Signature of Applicant