Ultimate Land Use Plan:
Water Service: Private Public
Name of Utility Providing Public Water:
Sewer Service: Private Public
Name of Utility Providing Public Water:
Proposed Method of Road Maintenance and Solid Waste Disposal:
Provide the following: Proof of Ownership, Covenants and Restrictions, Copy of All Existing Final Plats
(Blue Line Print)
Reason you want to replat:
Applicant Signature: ___________________________________________ Date: ____________________
Land Owner Signature: _________________________________________ Date: ____________________
Filing Fee Received:____________________
Final Replat:____________________
Date Recorded:____________________
Erosion Control Plan:____________________