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TULLAHOMA MUNICIPAL REGIONAL PLANNING COMMISSION (City of Tullahoma)

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TULLAHOMA MUNICIPAL REGIONAL PLANNING COMMISSION
321 North Collins Street, Tullahoma, Tennessee 37388
OFFICE 931.455.2282 FAX 931.454.1765
SITE PLAN APPLICATION
Name of Site Plan
Date of application
Site plans for parking lot additions with no new building construction can be reviewed and approved
administratively.
Applicant/ Developer
Mailing Address
City
State
Zip
Phone Number
Email
Project Engineer/Surveyor
Mailing Address
City
State
Zip
Phone Number
Fax Number
Email
The applicant is responsible for notifying the Planning & Codes Department if any contact information has changed.
1.
PLEASE COMPLETE THE FOLLOWING PROPERTY INFORMATION:
Address of subject property
Size of Property
Tax Map
Group
Parcel
Deed Book
Page Number
Zoning of property
Zoning Application File Number (if applicable)
2.
ADDITIONAL REQUIRED INFORMATION:
A copy of the owner’s deed
Site plan checklist
A copy of Notice Of Intent (NOI) Form (if applicable)
NOTE: NOI and NPDES are required by the
state if more than 1 acre of land is to be
disturbed.
A copy of NPDES Permit (if applicable)
I hereby certify that the information contained in this application is true and correct to the best of my
knowledge and belief.
Applicant’s Signature
Applicant’s Name (Printed)
Date
STAFF USE ONLY - FEES
Site Plan Review Fee $75
Accepted By
Receipt Number
Total
Number of Plans
$250.00
x __________
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TULLAHOMA MUNICIPAL REGIONAL PLANNING COMMISSION (City of Tullahoma)

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Completed 16 July 2020

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