APPENDIX I
Forms
      1. Application for Preliminary Plat Approval.
      2. Preliminary Plat Checklist.
      3. Application for Technical Design and Construction Plan Approval.
      4. Application for Final Plat Approval.
      5. Final Plat Checklist.
      6. Application for Minor Subdivision Waiver of Plat.
APPLICATION FOR PRELIMINARY PLAT APPROVAL
Delta, Ohio
 
Date:                                            Application No.:                       
 
Fee: $                 Paid?               for review at P.C. meeting on:                 
for office use only
 
 
1.    Name of Applicant:                                                                                                                                                                     
   Address:                                                                                         
   Phone:                                           Fax:                                      
2.    Name of Surveyor or Engineer:                                                            
   Address:                                                                                         
   Phone:                                           Fax:                                      
3.    Name of Subdivision:                                                                         
4.    Locational Description:    Section          Twp           Range               
               Township                                                  
   (In addition, please attach a copy of the legal description.)
5.    Proposed Use:                                                                                   
6.    Present Zoning District:                                                                      
7.    Proposed Zoning Changes:                                                                  
8.    Number of Lots:                                 Area of Parcel:                        
9.    What type of sewage disposal do you propose?                                        
(If other than a public sewer system is proposed, include a letter from the appropriate authority approving such system.)
10.    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.                                                                                                       
f.                                                                                                      
 
PRELIMINARY PLAT CHECKLIST
Delta, Ohio
 
Date:                                              Application No.:                                   
 
Subdivision:                                                                                              
 
The following items (do, do not) conform to the requirements of the Subdivision Regulations of the Village of Delta. Those items not conforming are explained in a separate attachment.
       Do   Do Not    NA    Item
1.                                   Name of Subdivision (Section 1169.14(b)(1) )
 
2.                                    Locational Description (Section 1169.14(b)(2))
 
3.                                   Name and address of owner, subdivider, and surveyor (Section 1169.14(b)(3))
 
4.                                   Sheet size not larger than 24"x 36" (Section 1169.14(b))
 
5.                                   Seven copies submitted (Section 1169.05(c))
 
6.                                    Proper scale (Section 1169.14(b)(4))
 
7.                                   Date and North point (Section 1169.14(b)(4))
 
8.                                    Vicinity Map (Section 1169.14(b)(12))
 
9.                                   Names of adjacent subdivisions and owners
                (Section 1169.14(b)(8))
 
10.                                  Zoning classification (Section 1169.14(b)(9))
 
11.                                  Topography at 2' intervals (Section 1169.14(b)(10))
12.                                  Location, width and names of existing streets, rights-of-way and easements (Section 1169.14(b)(6))
13.                                  Location and dimensions of existing buildings and parks (Section 1169.14(b)(6))
14.                                  Corporation, township, range and section lines (Section 1169.14(b)(6))
15.                                  Location of existing sewers, water lines, open ditches and other facilities (Section 1169.14(b)(7))
16.                                  Layout, names and widths of proposed streets or easements (Section 1169.14(b)(13))
 
PRELIMINARY PLAT CHECKLIST
page two
 
Subdivision:                                                                                                                 
 
      Do    Do Not    NA    Item
 
17.                                   Layout and approximate dimensions of all lots
                (Section 1169.14(b)(14))
 
18.                                   Building setback lines (Section 1169.14(b)(15))
 
19.                                   Public dedications (Section 1169.14(b)(19))
 
20.                                   Statement of proposed use of lots (Section 1169.14(c))
21.                                   Diagram of the layout of the proposed sewer and
               water facilities (Section 1169.14(b)(16))
22.                                   Diagram of the drainage system (Section 1169.14(b)(17))
23.                                   High water levels and areas of flooding
                (Section 1169.14(b)(18))
24.                                   Screen planting plan, if any (Section 1169.14(b)(20))
 
 
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