Preliminary 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
Proposed Subdivision Name
*
Legal Description (S-T-R 1/4 Section)
*
Surveyor or Engineer Firm
*
Contact
*
Address
*
Phone
*
Phone Number with Area Code
Format: (000) 000-0000.
Email
*
example@example.com
Subdivision Information
1. Gross Acreage
*
2. No. of Lots
*
3. Minimum Lot Size
*
4. Maximum Lot Size
*
5. Existing/Proposed Zoning
*
6. Water Supplier
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7. Proposed Sewage Disposal System
*
8. Road System
*
I, the undersigned am (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 preliminary 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
*
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