CITY OF FAYETTEVILLE, ARKANSAS
CONCEPTUAL PLAT
Please fill out the Energov fields completely, supplying all necessary information and documentation to support your
request.
CHECKLIST:
Attach the following items to this application:
o Payment in full of applicable fees for processing the application - $50.00 per meeting
o Complete written description of this review request including scope, nature and intent of development.
Please identify any specific design features or issues desired for input by staff and/or Planning
Commission.
o Signed owner authorization letter.
o The concept plat or plan submittal should including the following information:
(1) Scale. The concept plat or plan should be drawn at 1 inch = 100 feet or 1 inch = 200 feet on any
material so long as it portrays the intent of the developer;
(2) Vicinity map. A vicinity map which shows the proposed subdivision location in relation to the
nearest arterial and collector streets on the Master Street Plan or Washington County Highway
Plan;
(3) Topography. Topography (USGS is sufficient);
(4) Natural or physical features. Existing watercourses, floodplains, tree cover, and other natural or
physical features or restricting elements;
(5) Utilities. Type of utilities to be provided;
(6) Proposed use. Proposed use of all land;
(7) Traffic system. Existing and proposed traffic system;
(8) Structures. Proposed type and number of structures;
(9) Developer identification. Name, address, and telephone number of owner, developer, and engineer
or surveyor; and
(10) Subdivision identification. Subdivision name, scale, date, north arrow and acreage.
o For projects containing commercial structures, one (1) colored rendering should also be provided
depicting the architectural concept for the structures.
o Cover Letter describing the nature, scope and intent of the proposal.
o Desired level of review:
Technical Plat Review (reviewed by City staff and utility providers); or
Planning Commission (reviewed by City staff and Planning Commission, open for public
comment)
Consent of Owner Form
PROPERTY OWNER(S) / AUTHORIZED AGENT: By signing below, I/we certify under penalty of perjury
that I am/we are the owner(s) of the property that is the subject of this application and that I/we have
authorized this application and consent to its filing.
PLEASE NOTE:
Property Owners: Attach additional info/documentation if necessary.
Authorized Agents: If signing on behalf of a Property Owner, a letter from each Property Owner must be
provided indicating that the agent is authorized to act on their behalf.
____________________________________________________________________________________
Associated Project (required field)
Property Owner 1:
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
Property Owner 2: (if needed)
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
Property Owner 3: (if needed)
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
Property Owner 4: (if needed)
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
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