APPENDIX § 2: PLAT QUESTIONNAIRE.
   Application #                           
   PLAT QUESTIONNAIRE
Name of Subdivision ________________________________________________                                                                                                               
Name of Owner                                                            Phone: _____________                                              
Address __________________________________________________________                                                                                                                                
The following specific questions relating to this subdivision should be answered and this form included with the presentation of the plat.
Total number of acres in proposed subdivision _____________________________                                     
Total number of lots anticipated _________________________________________                                                       
Will new streets be created?                 How wide? _________                
Will any additional right-of-way be dedicated along existing streets? ______________                
   How wide?                 Name of Road __________________________                                            
The subdivision will be served by (check one):
   Individual wells                 Public Water Supply ________                
   Other                 (Specify) ______________________________________                                              
The sanitary needs will be served by (check one):
   Septic Tanks                 Public Sanitary Sewerage System _____________                
   Other                 (Specify) ___________________________________                                                          
What type of storm drainage will be used? ________________________________                                              
Is any land other than streets to be dedicated for public use? ___________________               
   Describe: ___________________________________________________                                                                         
Will any natural drainage course be affected by the subdivision? _________________               
   Describe: ___________________________________________________                                                                               
Is the property subject to the one hundred year flood? ________________________                
What is the present use of the land? ______________________________________                                                   
What is zoning classification? ______________                
Any proposed changes in zoning classification? _________________                
Questionnaire prepared by ____________________________________________                                                               
(Ord. 12-94, § 305, passed 1-17-95)