Bessemer City Zoning Code

City of Bessemer

Application for Preliminary or Final Plat

DATE: ___________

Name of Subdivision __________________

Applicant Name ___________ Phone Number ________

Address___________ City_______ State_____ Zip Code_____

Owner of Record ___________ Phone Number ________

Address___________ City_______ State_____ Zip Code_____

Engineer ___________ Phone Number ________

Address___________ City_______ State_____ Zip Code_____

Land Surveyor ___________ Phone Number ________

Address___________ City_______ State_____ Zip Code_____

Attorney ___________ Phone Number ________

Address___________ City_______ State_____ Zip Code_____

Subdivision located on the _____ Side of _____ feet _____ of _____

(Left, Right)      (Street)     (Direction)   (Street)

Total Acreage _______ Number of Lots _______

Legal Description of Subdivision _____ ¼ of _____ ¼ of Section _____

Township _______ Range _______ ___Attached Legal

Parcel Identification Number: ___________ ___Attached Tax Map

Present Zoning: _____ Will the property require rezoning: ___ Proposed Zoning: ___

Attach Utility Availability Letters: ___Water ___Sewer ___Power ___Phone

Type of Bonding Required for Public Improvements: ____________

___Attached five (5) copies of the proposed vicinity sketch map and preliminary sketch plan or final plat.

I, ___________, hereby depose and say that all the above statements and the statements contained in the papers submitted herewith are true.

Signature ______________________ Title ___________

Address___________ City_______ State_____ Zip Code_____