APPENDIX B: FORMS

APPLICATION FOR MAJOR SUBDIVISION - PRELIMINARY SKETCH

Application for Major Subdivision

Preliminary Sketch

Village of Dalton • 1 W. Main St. • P. O. Box 493 • Dalton, Ohio 44618

[phone]

Please submit 8 copies of this application form with required attachments.

Name of Proposed Subdivision:

Location of Subdivision:

Name of Applicant:

Address:

Phone:                                                             Fax:

Proposed Use of Lots:

Total Acreage:                                                      Number of Lots:

Average Lot Size:                                                 Lot Size Range:

Previous Approvals:

Covenants or Restrictions (attach):

I certify that all information contained in this application and its supplements are true and correct

Applicant's Signature                  Date

For Official Use

Date Received:

Page 1 of 2

 

 

	REVIEW CHECKLIST (Circle Recommendation)
	Street Dept.	Water Dept.	Sanitary Dept.	Fire Dept.	Planning Commission
	Approve	Approve	Approve	Approve	Approve
	Conditionally Approve	Conditionally Approve	Conditionally Approve	Conditionally Approve	Conditionally Approve
	Disapprove	Disapprove	Disapprove	Disapprove	Disapprove

 

Conditions or Comments:

Signature - Planning Commission Chairperson      Date

Page 2 of 2

 

APPLICATION FOR MAJOR SUBDIVISION - PRELIMINARY PLAT

Application for Major Subdivision

Preliminary Plat

Village of Dalton • 1 W. Main St. • P. O. Box 493 • Dalton, Ohio 44618

[phone]

Please submit 8 copies of this application form with required attachments.

Name of Proposed Subdivision:

Location of Subdivision:

Name of Applicant:

Address:

Phone:                                                             Fax:

Proposed Use of Lots:

Total Acreage:                                                      Number of Lots:

Average Lot Size:                                                 Lot Size Range:

Previous Approvals:

Covenants or Restrictions (attach):

I certify that all information contained in this application and its supplements are true and correct

Applicant's Signature                  Date

For Official Use

Date Received:

Page 1 of 2

 

 

	REVIEW CHECKLIST (Circle Recommendation)
	Street Dept.	Water Dept.	Sanitary Dept.	Fire Dept.	Planning Commission
	Approve	Approve	Approve	Approve	Approve
	Conditionally Approve	Conditionally Approve	Conditionally Approve	Conditionally Approve	Conditionally Approve
	Disapprove	Disapprove	Disapprove	Disapprove	Disapprove

 

Conditions or Comments:

Signature - Planning Commission Chairperson      Date

Page 2 of 2

 

APPLICATION FOR MAJOR SUBDIVISION - FINAL PLAT

Application for Major Subdivision

Final Plat

Village of Dalton • 1 W. Main St. • P. O. Box 493 • Dalton, Ohio 44618

[phone]

Please submit 8 copies of this application form with required attachments.

Name of Proposed Subdivision:

Location of Subdivision:

Name of Applicant:

Address:

Phone:                                                             Fax:

Name of Surveyor:

Name of Engineer:

Address:

Phone:                                                             Fax:

Proposed Use of Lots:

Total Acreage:                                                      Number of Lots:

Average Lot Size:                                                 Lot Size Range:

Previous Approvals:

Covenants or Restrictions (attach):

I certify that all information contained in this application and its supplements are true and correct

Applicant's Signature                  Date

Page 1 of 2

 

 

For Official Use

Date Received:

Tax Certificate Received:                                             Title Evidence Received:

Bond Received:                                                          Improvement Approval:

 

 

	REVIEW CHECKLIST (Circle Recommendation)
	Street Dept.	Water Dept.	Sanitary Dept.	Fire Dept.	Planning Commission
	Approve	Approve	Approve	Approve	Approve
	Conditionally Approve	Conditionally Approve	Conditionally Approve	Conditionally Approve	Conditionally Approve
	Disapprove	Disapprove	Disapprove	Disapprove	Disapprove

 

Conditions or Comments:

Signature - Planning Commission Chairperson      Date

Page 2 of 2

 

APPLICATION FOR MINOR SUBDIVISION

Application for Minor Subdivision

Village of Dalton • 1 W. Main St. • P. O. Box 493 • Dalton, Ohio 44618

[phone]

Please submit 5 copies of this application form with required attachments and fees.

Name of Proposed Subdivision:

Location of Subdivision:

Name of Applicant:

Address:

Phone:                                                             Fax:

Name of Surveyor:

Address:

Phone:                                                             Fax:

Proposed Use of Lots:

Total Acreage:                                                      Number of Lots:

Average Lot Size:                                                 Lot Size Range:

Previous Approvals:

Covenants or Restrictions (attach):

I certify that all information contained in this application and its supplements are true and correct

Applicant's Signature                  Date

For Official Use

Date Received:                                                                    Fee Received:

Action:

Signature                     Date

Page 1 of 1

 

APPLICATION FOR WAIVER

Application for Wavier

Village of Dalton • 1 W. Main St. • P. O. Box 493 • Dalton, Ohio 44618

[phone]

Please submit 8 copies of this application form with required attachments.

Name of Proposed Subdivision:

Location of Subdivision:

Name of Applicant:

Address:

Phone:                                                             Fax:

Applicable Subdivision Regulations Section(s):

Please describe the nature of the waiver (attach additional pages if necessary):

I certify that all information contained in this application and its supplements are true and correct

Applicant's Signature                  Date

For Official Use

Date Received:                                                                    Fee Received:

Action:

Signature                     Date

Page 1 of 1

 

(Ord. 5-06, passed 6-12-2006)

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