Case “S” No. ______________________ DPRV: __________________ Date: _____________
Name of Development (as shown on plans):
____________________________________________________________________________________
Designer Engineer Information Owner/Developer Information
Company: ____________________________________ Company: ___________________________________
Name: _______________________________________ Name: ______________________________________
Address: _____________________________________ Address: _____________________________________
_____________________________________________ ____________________________________________
Phone: _________________ Alt. Ph. _______________ Phone: __________________ Alt. Ph. _____________
Email: _______________________________________ Email: ______________________________________
Which one can be the main contact person for all status inquiries? Designer Engineer Owner/Developer
* Redline comments from the last review must be included.
* Mylars can only be submitted when requested by Pinal County. If submitted without request, they will be returned at owner’s expense.
st
nd
rd
Yes No
Is this project currently under permitted construction?
Is your review fee included with this submittal? Amount: $ ______________ Check #____________
(Please include Project Name, Case No., and a breakdown of all fees on Check or attached.)
For first submittals, the following must be attached if applicable:
Zoning Stipulations
PAD Stipulations
Tentative Plat Stipulations
For Subdivision submittal, copy of Tentative Plat
Development Agreement? If checked, provide name: ____________________________________
Engineering Division
County Manager
Himanshu Patel, Director
Community Development
