1165.01 APPLICATION.
 
APPLICATION FOR PLAT APPROVAL
(For Planning Commission Use Only)
Date Received                                          Application #                                 
Date Application accepted for Commission Action                                              
Placed on Agenda for                                                        
APPLICATION IS HEREBY MADE
TO THE PORT CLINTON PLANNING COMMISSION
FOR APPROVAL OF THE PLAT OF THE BELOW DESCRIBED SUBDIVISION:
Name of Subdivision                                                                 
Section:                                          Lot:                                          
Preliminary                                      Final                                          
Name of Principal Owners:                                                                  
    Address                                       Phone:                                  
Name of Surveyor:                                                                            
    Address                                        Phone:                                
Name of Engineer:                                                                             
    Address                                        Phone:                                
Name of Legal Representative (If Any):                                                  
    Address                                        Phone:                                
Accompanying this Application is one reproducible copy of the proposed Final Plat and six prints of the same. It is further understood by the applicant that said Application must meet the requirements of the City of Port Clinton Subdivision Regulations and consideration of said Application is contingent upon meeting these requirements. The Application shall be placed on the Commission's agenda for the next appropriate meeting. Submission shall occur by the first Monday of each month.
Ohio law mandates approval or disapproval within thirty days. Do you wish to waive that thirty day time frame?       Yes                        No                            
If yes, identify the length of extension requested?                                          The maximum extension allowed is twelve months after which the plat is disapproved.
Signature of Owner/Agent                                                              Date