/Subdivision/MINORSUB
2020-03-24
CITY OF ST. MARYS
ELK COUNTY, PENNSYLVANIA
SUBDIVISION AND LAND DEVELOPMENT ORDINANCE
APPLICATION FOR MINOR SUBDIVISION PLAN APPROVAL
APPLICATION OF:
_____________________________________ _________________________________________
NAME ADDRESS
_____________________________________ _________________________________________
TELEPHONE CITY, STATE, ZIP
NAME OF SUBDIVISION ___________________________________________________________
APPLICANT’S INTEREST______________________________________________________________
OWNER NAME ______________________________________________________________________
DEED REFERENCE _________________________ TAX MAP #_____________________________
ENGINEER NAME AND ADDRESS ____________________________________________________
CONTACT NAME AND PHONE NUMBER _____________________________________________
PROPERTY
LOCATION________________________________________________ROAD/STREET
SIZE BEFORE DIVISION ____________________ ACRES OR ___________________SQ. FT.
NUMBER OF LOTS___________________ SIZE OF LOTS _______________________________
PROPOSED USE______________________________________________________________________
UTILITIES:
ON SITE SEPTIC SYSTEM WELL/SPRING
EXTENSION OF CITY SANITARY SEWER CITY WATER
GAS ELECTRIC TELEPHONE
ROAD/STREET: (if applicable) PUBLIC PRIVATE
APPLICANT MUST COMPLY WITH CHECK LIST PROVIDED WITH APPLICATION.
The undersigned hereby represents that, to the best of my knowledge and belief, all information listed
above is true and complete
.
SIGNATURE OF APPLICANT
__________________________________________________ DATE __________________________
Application # ___________________
Dat
e Received __________________
Zo
ning District _________________
Fee $25.00 per lot _______________
($10 County Fee)
(814) 781-1718
(814) 834-1304 (FAX)
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/Subdivision/MINORSUB
2020-03-24
THE APPLICATION AND ATTACHED PLANS HAVE BEEN REVIEWED BY THE CITY OF
ST. MARYS ZONING OFFICER AND:
MEETS ALL APPLICABLE CITY DOES NOT MEET APPLICABLE CITY
REGULATIONS AND ORDINANCES REGULATIONS AND ORDINANCES
___________________________________________ __________________________
ZONING OFFICER DATE
COMMENTS______________________________________________________________________
__________________________________________________________________________________
ST. MARYS CITY PLANNING COMMISSION MEMBERS
REVIEWED AND APPROVED BY THE CITY PLANNING COMMISSION THIS _______ DAY
OF _______________________, __________ SUBJECT TO ANY CONDITIONS LISTED BELOW.
_____________________________________ ________________________________________
_____________________________________ ________________________________________
_____________________________________ ________________________________________
_____________________________________ ________________________________________
_____________________________________ ________________________________________
CONDITIONS_____________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
ST. MARYS CITY COUNCIL
REVIEWED AND APPROVED THIS ____________ DAY OF ___________________________,
___________ SUBJECT TO ANY CONDITIONS LISTED BELOW.
____________________________________ ___________________________________
SECRETARY MAYOR
CONDITIONS______________________________________________________________________
___________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
/Subdivision/MINORSUB
2020-03-24
CITY OF ST. MARYS
CHECK LIST
MINOR SUBDIVISION PLAT REQUIREMENTS
1. Reasonable scale __________
2. Name and address of developer/owner __________
3. Name of subdivision __________
4. Name, registration number, and raised seal of surveyor __________
5. North arrow __________
6. Margin of one inch on each side __________
7. Date __________
8. Location map __________
9. Tract boundaries with bearings and distances __________
10. Location, bearing, length of streets, ROW widths, existing and proposed __________
11. Names and deed references of adjoining property owners __________
12. Size of parcels in square feet, and/or acres __________
13. Correct setback requirements according to zoning district __________
14. Copies of proposed deeds for new and residual lots __________
15. Lot numbers __________
16. Draft of protective covenants or restrictions if applicable __________
17. Location of erosion and sedimentation controls (If applicable) __________
18. List of previous subdivisions of parcels and year it was subdivided __________
19. Stormwater management plan (If applicable) __________
20. DEP Planning modules (If applicable) __________
21. Utility line locations __________
/Subdivision/MINORSUB
2020-03-24
22. Original property owner(s) signature(s) on plat and notarized . __________
23. All required signature blocks: City of St. Marys Planning Commission,
Elk County Planning Commission, City of St. Marys City Council, Elk
County Recorder’s Office __________
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Application and plans are to be approved by the City Planning Commission, and City
Council; plans are reviewed by the Elk County Planning Commission, Elk County Conservation
District, PA Department of Environmental Protection and must comply with any other federal, state
or local laws.
Return this check list along with completed application and fee to the City Permit Office
EIGHT days prior (Monday) to the Planning Commission meeting (first Tuesday of every month).
Any applications turned in after this time will be reviewed at the next meeting, and any incomplete
applications will not be accepted.
20 copies of plan required. At least 3 MUST be originals with notary and surveyor raised
seals.
9 – City Planning Commission
1 - Elk County Planning Commission
7 - City Council and Mayor
3 Originals with ownership signatures notarized and raised surveyor’s seals
1 To be retained at the Elk County Recorder’s Office
1 To be retained by developer after recording
1 To be returned to City offices after recording
Additional copies and plans may be needed according to development type.
DEP (with planning module)
________________________________________ __________________
Signature Date
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