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Name of subdivision:
Name of applicant:
Address of applicant:
Phone No. Fax No.
Application is hereby made for approval of the preliminary plat. Made a part of this application are the following documents:
a. Application Fee: $250 + $10/lot (number of lots ) =
b. 15 copies of location map.
c. 15 copies of preliminary plat.
d. 10 copies of Traffic Impact Analysis (Required for residential developments creating more than 20 dwelling units or lots - See § 154.077 of the Zoning Code)
e. Appendix M (Variance to Subdivision Regulations), when necessary.
Applicant Signature: Date:
Planning Commission Action:
Approved (with or without conditions) Disapproved
Date: Chairman's Signature:
(‘65 Code, Part Thirteen, Appendix C) (Am. Ord. 08-026, passed 6-3-08)