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Attachment 1 <br />APPLICATION FOR PRELIMINARY PLAN APPROVAL 7 <br />MAJOR SUBDIVISION <br />ORANGE COUNTY 5105 <br />A <br />SUMMARY INFORMATION <br />Orange County Tax Ma _ <br />Zoning District(s): <br />Total Number of Acres: _ <br />Total Number of Lots: <br />Number/Type of Structures: <br />Linear Feet In Streets: <br />Water Supply: <br />Wastewater Disposal: <br />School District: o <br />General Land Uses in Area: <br />Critical Areas: <br />Block S9 ? Lot(s) Township <br />Average Lot Size: &%,5715 0. Minimum Lot Size: .,F. <br />(proposed) j � <br />Acres in Open Space: t',. <br />iblic (specify) Community ,e Individual <br />Public (specify) --° Community Individual <br />`i Fire District: eA6r �t <br />stream /drainageways flood prone areas <br />watershed (specify)' historic sites <br />other (explain) <br />Is the property to be subdivided currently under "farm use value taxation "? Yes <br />No . If "yes," please <br />contact the Orange County Tax Office. Subdivision of the property may require <br />payment of deferred taxes under <br />"farm use value taxation." <br />B All plats must be submitted on sheet no smaller than one inch equals two- hundred <br />feet (1" =200') and no larger than <br />one Inch equals twenty feet (1"=20') and must contain the following <br />information: <br />subdivision name <br />zoning of tract and adjacent <br />properties <br />name & address of owner(s) <br />_ <br />building setback lines by notation or <br />name & address of subdivider <br />typical lot layout <br />location and width of existing and <br />(if other than owner) <br />proposed easements (drainage, <br />utilities, roads, etc.) <br />name of surveyor, engineer, landscape <br />Existing, proposed and adjoining <br />architect or architect, address, <br />rights -of -way including dimensions <br />registration # & seal <br />and street names and State Road <br />(title) Preliminary Plan <br />numbers. Linear feet of road <br />scale, north arrow <br />centerlines and approximate acreage <br />date of plan preparation and revisions <br />% <br />of new street rights -of -way <br />township, tax map - block -lot references <br />V <br />existing and proposed utilities, <br />Parent Parcel Identification # <br />including type, sizes, hydrants, <br />deed book and page # of property to be <br />valves, manholes <br />subdivided <br />boundary described with bearings and <br />existing and proposed curbs, gutters <br />distances <br />and culverts, including sizes and <br />grades <br />