HomeMy WebLinkAboutApplication 072721 lfpzd.doc 01/17/2019
INFORMATION SHEET FOR 68BDI9I6ION, 3=D¶V, =ONING OR SUBDIVISION SITE PLAN REVIEWS
ITEM NO. DATE
FILE NO.
NAME:
LOCATION:
DEVELOPER:
STREET ADDRESS
CITY/STATE/ZIP
TELEPHONE NO.
ENGINEER:
STREET ADDRESS
CITY/STATE/ZIP
TELEPHONE NO.
AREA NUMBER OF LOTS
FT. NEW STREET
ZONING PROPOSED USES
PLANNING DISTRICT CENSUS TRACT
VARIANCES REQUESTED
1.)
2.)
3.)
4.)
lfpzd.doc 01/17/2019
STREET RIGHT-OF-WAY
AGREEMENT
CASE NO. Z- LOCATION/ADDRESS
DATE
DOCKETED FOR MEETING ON
I, , do hereby agree/disagree to dedicate to the public
any needed right-of-way as required by the Master Street Plan for a public street abutting property on
which I am requesting Planned Zoning District.
I, , agree/disagree to provide at my expense an
easement deed and/or other documents as necessary conveying such right-of-way to the public.
APPLICANT/OWNER DATE
(IF THE ABOVE SIGNATURE REPRESENTS AN APPLICANT OTHER THAN THE TITLE
HOLDER, ATTACHMENT OF A LETTER IS REQUIRED AUTHORIZING THIS PERSON TO ACT
IN BEHALF OF THE TITLE-HOLDER.)
05/14/21
Matthew Yates
Matthew Yates