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Plan Review Transmittal

2. Date*
   Date

   Enter submital date.

3. County File Number*

5. Applicant Info*

   Name, Address, and Phone Number

7. Project Name*

9. Surveyor*

11. Type of Submittal

13. Site Plan*

    1. Concept Plan (include rev. date in comments)
    2. Site Plan (include rev. date in comments)
    3. Other (specify in comments)
    4. n/a
14. Subdivision Plan*

    1. Concept Plan (include rev. date in comments)
    2. Preliminary Plan (include rev. date in comments)
    3. Final Plat (include rev. date in comments)
    4. Other (specify in comments)
    5. n/a
16. Comments*

    Rev. date from above or Other information.

18. File Upload*

    Please attach plans here.

19. File Upload

    Please attach additional files here.

20. File Upload

    Please attach additional files here.

22. Transmittal will be sent to the following individuals: 1. Mr. James Bangerd, Jr. Chief - Volunteer Fire Department 2. Mr. Jeff Spaulding, Chief - Police Department 3. Mr. Bill Mackey, Director - Community Planning & Development 4. Mr. Jeff Glass, Director - Public Works Department

    Transmittal will be sent to the following individuals: 1. Mr. James Bangerd, Jr. Chief - Volunteer Fire Department 2. Mr. Jeff Spaulding, Chief - Police Department 3. Mr. Bill Mackey, Director - Community Planning & Development 4. Mr. Jeff Glass, Director - Public Works Department

Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit Submit and Print

* indicates a required field