Application #:
APPLICATION FOR ADMINISTRATIVE APPROVAL
(Subdivisions of four lots or less)
Regulated by R.C. 711.131
NOTE: Three copies of this application complete with the information required below must be filed with the Village Administrator. The applications will be assigned a file number and then forwarded to the Chairperson of the Planning Commission and the Zoning Inspector for their approval. Separate application shall be made for each lot subdivided. One copy of the application, together with the action taken by the Village officials will be returned to the applicant or his or her agent.
Applications will not be accepted by the Village Administrator unless all information is complete and provided in triplicate. A fee, as determined by the Village Council, shall accompany the application.
Name of Applicant or Agent: | Telephone: |
Address: | |
Name of Grantor: | Telephone: |
Address: | |
Name of Grantee: | Telephone: |
Address: | |
Section: | Size of Parcel: |
1. Description: Attach separate sheet with legal description per copy.
2. Sketch: A sketch shall be attached to each copy showing:
a. Proposed division of land.
b. Owners of parcel and adjoining parcels.
c. Dimension and location of proposed lot lines.
d. Existing structures, easements, public facilities, setbacks and direction of drainage.
IMPORTANT: Administrative approval is provided for convenience. It does not in any way relieve the applicant of meeting all Subdivision Regulation requirements.
a. Existing structure: Yes No
b. Address assigned to structure:
c. Public water Yes No Public sewer: Yes No
ACTION BY PLANNING COMMISSION
Date Received: Date Reviewed:
COMMENTS:
Chairperson:
ACTION BY VILLAGE ZONING INSPECTOR
Date Received: Date Reviewed:
Action:
Zoning: Minimum Lot Width: Minimum Lot Area:
Other Comments:
Village Zoning Inspector
ACTION BY VILLAGE ADMINISTRATOR
Date Received: Date Reviewed:
Action:
Subject to Flood:
Other Comments:
Village Administrator
(Prior Code, § 1258.05) (Ord. 2000-9, passed 9-11-2000)