Section
1. Application for minor subdivision approval
2. Application for tentative approval of preliminary plat
3. Application for final plat approval
4. Required statements and signatures to be affixed on the subdivision plat
5. Application for subdivision variance
6. Extension agreement for approval or disapproval of subdivision plat by Planning Commission
§ 1 APPLICATION FOR MINOR SUBDIVISION APPROVAL.
Date
Name of Subdivider or Agent
Address
Phone
Location of Subdivision:
Township Section
1. Do you know what type of development will be constructed in this proposed subdivision
( ) Yes ( ) No If yes, check one:
( ) Single Family
( ) Two Family
( ) Three Family or more (specify)
( ) Commercial
( ) Industrial
2. Attach a detailed sketch plan showing exactly how you intend to subdivide your property. Indicate: scale (1" = 100' or larger), north arrow, names of all existing dedicated streets, approximate dimensions and size of each parcel in acres, and a tax map copy of the area in question (a copy can be obtained from the Village of Lexington Administration Building). See Chapter 1177 of the Subdivision Regulations of the Village of Lexington for other required information to be submitted.
3. If you have retained any remaining land as your original tract after the proposed subdivision, do you have future plans of subdividing the remaining tract of land?
( ) Yes ( ) No.
If yes, when do you estimate this will take place?
And how many parcels do you anticipate?
4. Have you ever submitted a subdivision plan of this tract of land to the Planning Commission before? ( )Yes ( ) No.
If yes, what was the date and action taken on your previous plan?
5. Do you conform with the minimum size of lots in the Village Zoning Ordinance?
( ) Yes ( ) No. Square footage of your proposed lots (if varies,
give square footage of smallest lot).
6. Indicate how you plan to provide water and sewer facilities to each additional building site you create.
a. Water (check one)
( ) Individual wells
( ) Construct a community water system
( ) Tap into an existing public water system
b. Sewer (check one)
( ) Individual septic systems
( ) Build a private treatment plant
( ) Tap into an existing public sewer system
Have you checked with the Richland County Health Department on the feasibility of your water and sewer proposals indicated above?
( ) Yes ( ) No. If yes, give the Health Department's comments.
If no, we suggest that you contact the Richland County Health Department on this matter.
If subdivision approval is given, it should be understood that approval is for the subdivision of land only. Approval under Subdivision Regulations does not constitute approval of sewage disposal systems by the Richland County Health Department, nor does it constitute approval of zoning, building construction, or any other pertinent development regulations that are in effect and have jurisdiction over the property to be subdivided.
I have answered everything to the best of my knowledge and clearly understood everything on the Application for Subdivision Approval.
Owner
If the facts on this application are found to be untrue, the application automatically becomes null and void.
After the application has been accepted, the Planning Commission has seven (7) working days by law to take action on your subdivision plan.
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OFFICE USE ONLY
Date Application Accepted
Action Must Be Taken By
Date of Planning Commission
Action Taken By Planning Commission
Date Applicant was Informed of Action
Signed
§ 2 APPLICATION FOR TENTATIVE APPROVAL OF PRELIMINARY PLAT.
Date Application No.
1. Name of Applicant
Address
Phone
2. Name of Surveyor or Engineer
Address
Phone
3. Name of Subdivision
4. Locational Description: Section Township
Range Other
(In addition, please attach copy of legal description)
5. Proposed Use
6. Present Zoning District
7. Proposed Zoning Changes
8. Number of Lots Area of Parcel
9. Do you propose deed restrictions? Yes No
(If yes, please attach a copy)
10. What type of sewage disposal do you propose?
If an "on lot" type of sewage disposal is proposed include a letter from the County Board of Health approving a specific type of sewage disposal.
11. 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.
12. List other materials submitted with this application.
Item No.
a.
b.
c.
d.
e.
f.
Applicant Surveyor or Engineer
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OFFICE USE ONLY
Date Received
Date of Meeting of Planning Commission
Action by Planning Commission
If Plat Rejected, Reason(s) for Rejection
Date Chairman
§ 3 APPLICATION FOR FINAL PLAT APPROVAL.
, Ohio
Date Application No.
1. Name of Applicant
Address
Phone
2. Name of Surveyor or Engineer
Address
Phone
3. Name of Subdivision
4. Date Preliminary Plat Approved
5. Was a zoning change requested? Yes No
If yes, the plat may not be approved until it conforms with the local zoning. Include a certification of zoning compliance if a change was requested.
6. Have all required improvements been installed? Yes No
If no, include detailed estimates of cost and a statement relative to the method of improvement guarantee. All estimates must be approved by the Village Engineer.
7. Do you propose deed restrictions? Yes No
(If yes, please attach a final copy)
8. List other materials submitted with this application
Item No.
a.
b.
c.
d.
e.
f.
g.
OFFICE USE ONLY
Date Received
Date of Meeting of Planning Commission
Plat Fee $ Inspection Fee $
Action by Planning Commission
If plat rejected, reason(s) for rejection
Date Chairman
CERTIFICATE OF SURVEYOR
S 4 REQUIRED STATEMENTS AND SIGNATURES TO BE AFFIXED ON THE SUBDIVISION PLAT.
OWNER'S ACCEPTANCE AND DEDICATION
I/we, the undersigned owner(s) of the land(s) shown on the within plat, hereby acknowledge the making of said plat to be our free act and deed, that there are no unpaid taxes or special assessments against the land contained in the plat and I/we do hereby accept said plat and dedicate the streets and other public areas as shown to public use forever. In Witness whereof I/we have set my/our hand(s) this day of , 19 .
OWNER (S) WITNESS (ES)
STATE OF OHIO, COUNTY OF RICHLAND, VILLAGE OF LEXINGTON: SS
Before me a Notary Public in and for said County and State, personally appeared the above owner(s) who then and there acknowledged the making and signing of the within plat to be his/her/their free act and deed and for the uses and purposes shown thereon in testimony, whereof I have hereunto set my hand and official seal this day of , 19 .
Notary Public
My Commission
Expires
I hereby certify this plat represents a survey made by me, that all notes, dimensions and geodetic details are correct, that the survey closes with an error of one foot in 25,000 feet or less and that the monuments shown exist or shall be set as shown.
Date
Name
Registered Surveyor No.
(SEAL)
VILLAGE ENGINEER
I hereby approve the above plat and dedication. No acceptance of the dedicated streets upon the public road system is meant or implied.
Date
Name
Village Engineer
VILLAGE LAW DIRECTOR
I hereby certify the performance guarantee for the construction of the proposed improvements has been reviewed and accepted.
Date
Name
Law Director
RICHLAND COUNTY HEALTH DEPARTMENT
(Applicable for Wells and Septic Systems)
I hereby approve the within plat and dedication.
Date
Name
Richland County Health
Department
VILLAGE OF LEXINGTON PLANNING COMMISSION
I hereby certify that the within plat and dedication were duly approved by the Planning Commission for the Village of Lexington at its regular meeting held on the day of , 19 .
Date
Name
Chairman
VILLAGE COUNCIL
I hereby certify that the within plat and dedication were duly approved by the Lexington Village Council, at its meeting on the day of , 19 .
Date
Mayor
COUNTY AUDITOR
I hereby certify that there are no delinquent taxes or special assessments on the land herein described and these platted lands were transferred on the day of , 19 .
Date
Name
Richland County Auditor
COUNTY RECORDER
Filed for record this day of , 19 at (time). Recorded this day of , 19 , in Plat Volume , Page .
Date
Name
Richland County Recorder
(Ord. 91-35. Passed 5-20-91.)
§ 5 APPLICATION FOR SUBDIVISION VARIANCE.
Date Application No.
Name
Address
Phone
1. Locational Description:
2. Nature of Variance Requested: Describe generally the nature of the variance:
3. Justification of Variance: On a separate sheet, please attach a statement relative to why the variance from requirements of the subdivision regulations is requested. Include such items as:
a. exceptional topographical or other conditions peculiar to this particular parcel of land:
b. why a literal interpretation of the regulations would deprive the applicant of rights enjoyed by other property owners:
c. that the peculiar conditions do not result from previous actions of the applicant:
d. that the requested variance is the minimum variance that will allow reasonable division of the land:
e. a sketch of the area showing the location and characteristics of the requested variance.
I certify that all information contained in this application and its supplements is true and correct.
Signature
§ 6 EXTENSION AGREEMENT FOR APPROVAL OR DISAPPROVAL OF SUBDIVISION PLAT BY PLANNING COMMISSION.
Pursuant to the New Lexington Subdivision Regulations and Section 711.10 Ohio Revised Code, the time for approval or disapproval of the Plat of submitted by is hereby extended to , 19 .
No Plat shall be recorded until it is approved by the Lexington Planning Commission and such approval is endorsed in writing on the Plat. The approval of the Planning Commission or the refusal to approve shall be endorsed on the Plat within thirty (30) days after the submission of the Plat for approval, or within such further time as the applying party may agree to.
This agreement constitutes the agreement of the applying party to an extension of time beyond the thirty (30) day period for approval or disapproval.
Applying Party
Dated:
Date Plat submitted to Planning Commission:
Extended Date: