§ 10. APPLICATION FOR PRELIMINARY APPROVAL OF SUBDIVISION.

   To: The City Planning Commission

   Application is hereby made for preliminary approval of the subdivision of land described below:

      Proposed name of subdivision:                                                                         

      Legal description of land:                                                                                

      Area:                                                           acres.

      Name of owner(s):                                                                                       

   Accompanying this application are ten (10) prints of a preliminary plat of the proposed subdivision; also five (5) copies of any restrictive covenants.

   I have examined and am familiar with the regulations covering the subdivision of land, as adopted by the Planning Commission.

   Respectfully submitted this                            day of                                 , 20           .

                  (Signed)                                                                     

                  (Print or type:)                                                            

                  Name:                                                                        

                  Address:                                                                    

                  Telephone:                                                                 

                  (For use of Planning Commission)

      This will acknowledge receipt of                                         dollars ($                              ) in payment of the fee required for the above requested preliminary approval of applicant’s subdivision.

Date:                                              

               Title: