Name of Development _________________________________________________________________________ Sketch plan reviewed: _________________________________________________________________________ Preliminary plan approved: _________________________________________________________________________ Final plat approved: _________________________________________________________________________ General Information: Owner: _________________________________________________________________________ Address _________________________________________________________________________ Phone: Home _____________________________________________________________________ Business __________________________________________________________________ Applicant: _________________________________________________________________________ Address: _________________________________________________________________________ Phone: Home _____________________________________________________________________ Business __________________________________________________________________ Engineer or Surveyor: _________________________________________________________________________ Address _________________________________________________________________________ Phone: Home _____________________________________________________________________ Business __________________________________________________________________ Development Data: Location: _________________________________________________________________________ Existing Zoning _________________________________________________________________________ Proposed Use _________________________________________________________________________ Number of Lots _________________________________________________________________________ Total Acreage _________________________________________________________________________ Range of Lot Sizes (List smallest and largest by acreage) _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ Linear Feet of New Street _________________________________________________________________________ Check ONE: Water Supply: On lot system __________ Public System __________ Sewerage System: On lot system __________ Public System __________ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (For Official Use Only) Exhibits Submitted __________ Sketch Design Plan __________ Preliminary Plan __________ Final Plan Feasibility Study __________ Street Profile and Cross Sections __________ Drainage Plan __________ Performance Bond __________ Deed Restrictions __________ Other Distribution of Plan __________ City Manager __________ Dept. of Health __________ ODOT __________ OEPA __________ Water Co. __________ School District __________ Other |
ACTION: Sketch Plan: Comments: _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ Preliminary Plan: Approved: _________________________________________________________________________ Rejected: _________________________________________________________________________ Comments: _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ Final Plat: Approved: ____________________________________________ Rejected: ________ Comments: _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ Plat Recorded with County: Yes ____ No _____ Date Recorded: _________________________________________________________________________ |
(Prior Code, Chapter 23.12, Appendix C)