Final Plat Application
Applicant/Agent Information
Name
*
Address
*
City/State/Zip
*
Phone
*
Phone Number with Area Code
Format: (000) 000-0000.
Email
*
example@example.com
Contact Person
*
Owner Information
Name
*
Address
*
City/State/Zip
*
Phone
*
Phone Number with Area Code
Format: (000) 000-0000.
Email
*
example@example.com
Contact Person
General Information
Subdivision Name
*
Legal Description (S-T-R 1/4 Section)
*
General Location or Address
*
Subdivision Information
1. Gross Acreage
2. Lot Information
A. Residential
Number of Lots
Acreage
Zone
B. Commercial
Number of Lots
Acreage
Zone
C. Industrial
Number of Lots
Acreage
Zone
D. Other
Number of Lots
Acreage
Zone
Total
Number of Lots
Acreage
Zone
3. Water Supplier
4. Sewage Disposal Systems
5. Road System (Public/Private)
If Public, indicate construction type, proposed rights-of-way, and lineal feet of each.
A
Type
Row
Feet
B
Type
Row
Feet
C
Type
Row
Feet
D
Type
Row
Feet
I, the undersigned am the (choose one)of the aforementioned property situated in the unincorporated portion of Johnson County, Kansas. By execution of my signature, I do hereby officially apply for Final Plat approval as indicated above.
*
Owner
Duly Authorized Agent
Signature
*
If you can’t sign above, please type your name in this box. It will serve as your digital signature.
*
Date
*
Preview PDF
Save PDF
Should be Empty: