APPENDIX A: APPLICATION FOR PLAT APPROVAL
   Application is hereby made to the Planning Commission for approval of the plat of the below described subdivision:
Name of Subdivision:    
Section:                Preliminary:                 Final:    
Name of Principal Owners:    
Address:                                  Phone:    
Name of Surveyor:    
Address:                                  Phone:    
Name of Engineer:    
Address:                                  Phone:    
Name of Legal Representative (If Any):    
Address:                                  Phone:    
Accompanying this application is one reproducible copy of the proposed preliminary/final plat and ten prints of the same. It is further understood by the applicant that such application for preliminary plat approval must meet the requirements of the subdivision regulations and consideration by the applicant that such application for preliminary plat approval must meet the requirements of the subdivision regulations and consideration of such application is contingent upon meeting these requirements the application shall be placed on the Planning Commission’s agenda for the next appropriate meeting. Submission shall be at least three weeks prior to the regularly scheduled meeting.
Ohio law mandates approval or disapproval within 30 days. Do you wish to waive that 30 day timeframe?:       Yes           No       
If yes, identify the length of extension requested?:    
The maximum extension is 12 months after which the plat is disapproved.
Signature of Owner/Agent: Date:    
   (For Planning Commission Use Only)
Date Received:                   
Application #:                   
Date Application accepted for Commission Action:                
Placed on Agenda for:                      
(Ord. 2317, passed 12-21-2006)