“FINAL PLAT APPLICATION “IN ACCORDANCE WITH THE
VILLAGE OF LORDSTOWN SUBDIVISION REGULATIONS
A. NAME OF APPLICANT: _______________________________ 1. Address: __________________________________________ 2. __________________________________________________ 3. Telephone Number:__________________________________ 4. __________________________________________________ 5. Fax Number: _______________________________________ 6. __________________________________________________ B. ENGINEER/SURVEYOR: _________________________________ 1. Address: _______________________________________ 2. Telephone Number: Fax Number: 3. ________________________________________ C. SUBDIVISION NAME ____________________________________ 1. Date of Preliminary Plan Approval: ____________________ 2. Resolution No. ________________
D. SUBDIVISION LOCATION: Street: _________________ Lot/Section No.: ________________ Location Description: _______________________________________ _______________________________________________________________ I hereby certify that I have submitted all of the required information for final plat 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. I also hereby acknowledge that I understand that if any of the provisions of the Village of Lordstown Subdivision Regulations are willfully violated before a plat of a subdivision is recorded in the office of the County Recorder; or if I dispose of, offer for sale or lease from a time exceeding five (5) years any lot or any part of a lot in a subdivision before the provisions of the Regulations are complied with, I shall be subject to the penalties prescribed in Chapter 711 of the Ohio Revised Code. _______________________________ ____________________ Applicant’s Signature or Authorized Representative Date Date Received: _________________________________________________ Date of Meeting of Planning Commission: ___________________________ Action Taken by Planning Commission: __________________________ ______________________________________________________________ ___________________________________ ____________________ Planning Administrator Date |