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 the classification? Any proposed changes in zoning classification? Questionnaire prepared by |