City of Byron - PRELIMINARY PLAT APPLICATION

PLANNING AND ZONING

PRELIMINARY PLAT APPLICATION FOR The City ofByron
Note: The applicant must complete this and all attached forms. Failure to complete them will result in the refusal of the application. The Department has up to five (5) working days to review all applications submitted for sufficiency. If the application is found insufficient, an agenda date will not be set until the required information is submitted.
Applicant
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Property Owner
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Existing Zoning District: *
Proposed Zoning District: *
Existing Use of Property: *
Proposed Use: *
Tax Map/Parcel Number *
Acreage: *
Location of Property (for legal ad): *
I hereby certify that the above information and all attached information are true and correct.
Signature*

Clear
Date*

MonthDayYear
Date
Application Withdraw:

I hereby withdraw the application.
Signature*

Clear
Date*

MonthDayYear
Date
Staff Use Only
Application Date:
Tentative City Council Date:

MonthDayYear
Date
Fee Payment Received:
Taken by:
Fee:
Payment Taken By:
AUTHORIZATION OF PROPERTY OWNER
I swear that I am the owner of the property which is the subject matter of the attached application, as shown in the records of Peach County, Georgia.
Name of Owner(s)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Signature of Owner(s)

Clear
I authorize the person named below to act as applicant in the pursuit of a rezoning, conditional use, subdivision, or variance of this property.
Name of Applicant(s)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Telephone Number
Please enter a valid phone number.Format: (000) 000-0000.
Personally appeared beforeme
who swears that the information contained in this authorization is true and correct to the best of his or her knowledge and belief.
Notary Public
Date

MonthDayYear
Date
SUBMITTAL REQUIREMENTSAND APPROVAL PROCEDURES
The following procedures shall be followed when submitting preliminary plats for a subdivision:

1) The subdivider shall meet with the zoning administrator to review a sketch plat of the proposed subdivision and upon receiving approval by the zoning administrator:

a) The subdivider shall submit a completed application, digital copy of proposed plat and pay appropriate fees.

b) The Planning and Zoning Committee shall hold a public hearing to consider the request and make a recommendation to the Mayor and Council.

c) The plat shall be submitted to the Mayor and Council for approval.

d) The approved preliminary plat shall be stamped and one copy returned to the subdivider.

e) Development plans and application for land disturbance permit must be submitted prior to the start of land disturbing activities. Requirements for submission are in the Land Disturbance Application.
APPROVEDENY
REASON:
Please verify that you are human*
Should be Empty:

PLANNING AND ZONING

Applicant

Property Owner

Staff Use Only

AUTHORIZATION OF PROPERTY OWNER

SUBMITTAL REQUIREMENTSAND APPROVAL PROCEDURES