Fillable APPLICATION FOR CONSIDERATION OF PLAT (Williams County Government)

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APPLICATION FOR CONSIDERATION OF PLAT (Williams County Government)

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APPLICATION FOR CONSIDERATION OF PLAT
Williams County Regional Planning Commission
One Courthouse Square-Williams County Courthouse
Bryan, OH 43506
Date:
Application No:
Applicant's Name:
Address:
City: State:
Zip:
Township:
Section:
Quarter Section:
Parcel Information:
Total Parcel Size (acres):
Signature
Telephone No.
Water Supply:
Tax Parcel No.
Name of Surveyor/Engineer:
Address:
City: State:
Zip:
Telephone No.
Subdivision Name:
Range:
Town:
Proposed Use:
Present Zoning District(Center, Pulaski, & Springfield):
Number of Lots:
Not Applicable
Proposed Use:
Public On Site
Public
Sewage Disposal:
On Site
Method of Improvement Guarantee:
Complete Construction Performance Bond
FOR OFFICIAL USE ONLY
Sketch Plan
Comments:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Comments:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Preliminary Plat
Approved Rejected
Dennis Miller, Director Date
ACTION:
Comments:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Final Plat
Approved Rejected
Dennis Miller, Director Date
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APPLICATION FOR CONSIDERATION OF PLAT (Williams County Government)

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Completed 6 August 2020

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