Columbus Consolidated
Government
Preliminary Plat Application
Subdivision Information
Subdivision Name
Subdivision Phase
(if applicable)
Subdivision
Location
Tax Parcel ID#
Zoning
Proposed Use
Number of lots
Total Acreage
Engineer / Surveyor Information
Name
Address
City
State
Zip
Phone Number
Fax Number
E-mail
Planning
Department
Owner Information
Name
Address
City
State
Zip
Phone Number
Fax Number
E-mail
Checklist
1) 6 COPIES OF PLATS
2) FEE ($225 + $10 PER LOT)
3) APPROVED STREET NAMES
Engineer / Surveyor / Owner signature ________________________________
For Office Use Only
File No.____________________
Submission Date: _______________________
Receipt No. ____________________