PRELIMINARY PLAN APPLICATION IN ACCORDANCE WITH THE
VILLAGE OF LORDSTOWN SUBDIVISION REGULATIONS
A. NAME OF APPLICANT: 1. Address: _______________________________________ 2. Telephone Number: __________________________________ 3. Fax Number: ________________________________________ B. ENGINEER/SURVEYOR:___________________________________ 1. Address: ________________________________________ 2. Telephone Number: __________________________________ 3. Fax Number: ________________________________________ C. SUBDIVISION NAME: __________________________________ __________________________________ __________________________________ D. SUBDIVISION LOCATION: Street:___________________ Lot/Section No.: Location Description: _____________________________________ ________________________________________________________ E. SUBDIVISION DESCRIPTION: Number of Lots:_____________ Area of Parcel (acres): ___________ Type of Water Supply: ______________________________________ Type of Sewage Disposal: ___________________________________ If “Individual Sewage Disposal Systems” are proposed, include a letter of “Conceptual Approval” from the Trumbull County Board of Health. I hereby certify that I have submitted all of the required information for preliminary plan review pursuant to the Village of Lordstown Subdivision Regulations and that all of the information is true and correct to the best of my knowledge. I also hereby acknowledge that I understand I cannot transfer or sell any land by reference to, exhibition of, or by the use of a plat of the subdivision before a plat has been approved and recorded in the manner prescribed in the Village of Lordstown Subdivision Regulations. The description of sublots or parcels by metes and bounds in an instrument of conveyance shall not exempt the transaction from the provisions of these Regulations. _____________________________________ _____________ Applicant’s Signature or Authorized Representative Date Date Received: _________________________________________ Date of Meeting of Planning Commission: ________________________ Action Taken by Planning Commission: ________________________ ____________________________________________________________ _____________________________________________________ ____________________________________ __________________ Planning Administrator Date |