Planning Commissioners' Procedures Manual - Hamilton County, Ohio

APPLICATION FOR APPROVAL OF
PRELIMINARY SUBDIVISION PLAN
HAMILTON COUNTY REGIONAL PLANNING COMMISSION
807 COUNTY ADMINISTRATION BUILDING 138 EAST COURT STREET CINCINNATI, OH 45202 (513) 946-4465
DATE RECEIVED
NAME:
FIRM:
APPLICANT
SUBDIVISION DATA
SUBDIVISION NAME:
FEE
ADDRESS: TOTAL ACRES: ACRES IN R/W:
CITY: STATE: ZIP: NUMBER OF LOTS:
TELEPHONE: FAX: TYPICAL LOT WIDTH:
OWNER
MAXIMUM LOT AREA IN SQ. FT.:
NAME:
MINIMUM LOT AREA IN SQ. FT.:
FIRM:
PROPOSED UTILITIES
ADDRESS: SEWER: PUBLIC PRIVATE
CK# / CASH
TYPE
CITY: STATE: ZIP: WATER: PUBLIC PRIVATE
TELEPHONE: FAX: SIDEWALKS NONE ONE SIDE BOTH
DEVELOPER
LOCATION, AREA AND ZONING
NAME: AUDITORS BOOK: PAGE: PARCEL:
FIRM:
ON THE (N) (S) )E) (W) SIDE OF:
TOWNSHIP
ADDRESS: APPROX FEET (N) (S) (E) (W) OF:
CITY: STATE: ZIP: TOTAL ACRES:
TELEPHONE: FAX: ZONING JURISDICTION(S):
YEAR
NAME:
ENGINEER
ZONING DISTRICT(S):
REQUIRED MIN LOT AREA:
FIRM:
ADDRESS:
PRELIMINARY PLAN(S):
PRIOR APPROVAL DATE(S)
SEQ#
CITY: STATE: ZIP: IMPROVEMENT PLAN(S):
TELEPHONE: FAX: FINAL PLAT(S):
DIRECT CORRESPONDENCE TO
NAME:
FIRM:
ADDRESS:
CITY: STATE: ZIP:
TELEPHONE:
FAX:
INDICATE CHANGES FROM PREVIOUS APPROVALS:
CERTIFICATION
I CERTIFY THAT THE INFORMATION AND STATEMENTS GIVEN ON THIS APPLICATION AND IN THE
ATTACHMENTS ARE, TO THE BEST OF MY KNOWLEDGE, TRUE AND COMPLETE BASED UPON THE
APPLICATION COMPLETENESS CHECKLIST (See Page 2)
APPROVAL DATE
SUBDIVISION NAME
APPLICANT’S SIGNATURE:
DATE: