REVIEW OF A PLANNED DEVELOPMENT APPLICATION
Ordinance Number 90-1211
1.
Requesting exception per Sec. 80.B. of the Subdivision Ordinance?
2.
3.
Name of identifying title of subdivision?
Subdivider:
□Yes
□ No
Name:
Address:
Telephone:
Relation to property:
4.
Licensed surveyor or engineer:
Name:
Address:
Telephone:
5.
Location of proposed subdivision:
6.
Are there any deed restrictions of restrictive covenants, etc. on the property (describe generally):
7.
Names of abutting owners and owners directly across adjoining streets (include those outside the City Limits):
8.
The undersigned hereby requests review by the Planning and Zoning Commission of the above identified
subdivision plat.
Signature:
Title:
Date
Office Use Only
Date Submitted:
Major Plat Fee {per acreage or lot(s)}:
Total:
Received by:
Minor Plat Fee {per acreage or lot(s)}:
Plat Number: