HomeMy WebLinkAboutA003 - Subdivision Petition dated September 25, 1995 A
Effective 11/01/86
CITY OF AMES, IOWA
SUBDIVISION PETITION
Owner:
Address: SOS ,SpUTh° /451
(Street) (City) (State) (Zip)
Telephone:
(Home.) - (Business)
Plan Preparers
Address: 05"O/ /O4y-1"7 5T1zT -
Street City (State) Zip)
Telephone: (-0/��
(Home) (Business)
Request for: Conceptual Development Plan Review
Administrative Plat Review
Final Plat Approval
, 1. Subdivision Name:
2. General Subdivision Location:
a��� � �Q�/Tff O� S• /��ST�7`
3. Legal Description (attach if lengthy):
4. Total Acreage: Z/, S<f-7 'CR Number of Lots:
5. Current Zoning:
Proposed Zoning (if applicable): &11
This application must include the following:
1. The appropriate number of copies of the Conceptual Development Plan,
Administrative Plat or Final Plat;
2. A signed checklist from the Development Packet;
3. 'A list of names and addresses of property owners within 200 feet;
4. Other required pertinent information.
I, the undersigned owner of the property described above, respectfully request
approval of the enclosed Conceptual Development Plan, Administrative Plat, or
Final Plat, and in support of that request, the foregoing facts are presented.
Development Application Contact,Person
In order to ensure proper communication between the applicant and the
City .of Ames, all communication from the City will be provided to the
following individual: .
Name:
Address: 3S0/ 10� �Tf7
Phone: �5`/5�2-74 C' I*7
FAX #: 27�
I (We) certify that I (we) am .(are). familiar with applicable state and local
codes and ordinances, the procedural requirements of the City of Ames,
and I (we) have submitted all required information. Further I
acknowledge that the contact person for this application .is the individual
as noted.
Al
Signed by: Date:
(Owne aQ
and: J O Date: 6�
(Owner's .Agent)
Fee: $ Date Paid: Received by:
Date Received by the Department of Planning and Housing:
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