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APPLICATION FOR PRELIMINARY PLAN APPROVAL 9 <br /> MAJOR SUBDIVISION <br /> ORANGE COUNTY 5105 <br /> PLEASE TYPE OR PRINT(INK ONLY) DATE: <br /> SUBDIVISION NAME: <br /> LOCATION: <br /> OWNERIDEVELOPER: <br /> ADDRESS: TELEPHONE NO.: <br /> AGENTICONTACT: <br /> ADDRESS: TELEPHONE NO.: <br /> A SUMMARY INFORMATION <br /> Orange County Tax Map Block Lot(s) Township <br /> Zoning ❑istrict(s): <br /> Total Number of Acres: <br /> Total Number of Lots_ Average Lot Size: Minimum Lot Size: <br /> NumberlType of Structures. (existing) (proposed) <br /> Linear Feet in Streets: Acres in Open Space: <br /> Water Supply: Public(specify) Community Individual <br /> Wastewater Disposal: Public(specify) Community Individual <br /> School District: Fire District: <br /> General Land Uses in Area: <br /> Critical Areas: streamldrainageways 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 No If"yes,"please <br /> contact the Orange County Tax Office. Subdivision of the property may require payment of deferred taxes under <br /> "farm use value taxation." <br /> S All plats must be submitted on sheet no smaller than one inch equals two-hundred feet(1"=200') and no larger than <br /> one inch equals twenty feet(1"=20')and must contain the following information: <br /> subdivision name zoning of tract and adjacent <br /> properties <br /> name✓t<address of owner(s) building setback lines by notation or <br /> typical lot layout <br /> name&address of subdivider location and width of existing and <br /> (if other than owner) proposed easements(drainage, <br /> utilities,roads,etc.) <br /> name of surveyor,engineer,landscape Existing,proposed and adjoining <br /> architect or architect,address, rights-of-way including dimensions <br /> registration#&seal and street names and State Road <br /> (title)Preliminary Plan numbers. Linear feet of road <br /> scale,north arrow centerlines and approximate acreage <br /> date of plan preparation and revisions of new street rights-of-way <br /> township,tax map-block-lot references existing and proposed utilities, <br /> Parent Parcel Identification# including type,sizes, hydrants, <br /> deed book and page#of property to be valves,manholes <br /> subdivided <br /> boundary described with bearings and existing and proposed curbs, gutters <br /> distances and culverts,including sixes and <br /> grades <br />