Appendix III
APPLICATION FOR
APPROVAL OF FINAL PLAT
CITY OF NEWARK
LICKING COUNTY, OHIO
Date:                
1.    Name of Applicant                      
   Address                         
   Telephone                         
2.    Name of Surveyor                      
   Address                         
   Telephone                         
3.    Engineer                         
   Address                         
   Telephone                         
4.    Name of Subdivision                      
5.    Date of Preliminary Plat Approval                
6.    Subdivision:                         
      Total Acres                      
      Total Acres in Lots                   
      Total Acres in Roadway                
      Total Acres Other Than Lots or Roadways          
7.    Deed Covenants or
   Restrictions Submitted          Yes         No        
8.    Seven Sets of Drawings (Prints)
   Submitted             Yes         No        
9.    Pilling Fee of $            Paid       Yes         No        
10.    Signage Fee of $    Paid       Yes         No        
11.    Legal Description of Boundary of
   Subdivision Submitted          Yes         No        
 
                              
Applicant's Signature              Surveyor or Engineer's Signature
Date Received:                         
Date of Planning Committee Meeting When Plat Will be Considered:       
Action by Planning Commission:                   
                              
   Date                   Signature
                  Secretary Planning Commission
(Ord. 93-62. Passed 10-3-94.)