City of Fort Calhoun Planning Commission

Administrative Subdivision Application

1) Administrative Lot Line Adjustment    2) Administrative Platting or Lot Consolidation

Fee: ______   Filing Date: _____________   Planning Commission Meeting Date: _______________  

______________________________________________________________________________________
            (Property Owner)                                    (Address)                                  (Phone)

LEGAL DESCRIPTION:

______________________________________________________________________________________  

Present Zoning District: _________________________________________________________________  

Required:  
Fee, application and  supporting documents, as specified in Table 3 – 1 (pages 17 – 19) in the 
Subdivision Chapter of the Land Development Ordinance, must be filed with the City Clerk at 
least 21 days prior to the regular Planning Commission meeting date.  (Usually the First Monday 
of each Month)  

Signature of Owner: ______________________________________________________________  

Planning Commission Remarks: ___________________________________________________________

Recommendation:      ____________________________________________________________________

______________________________________________________________________________________

Ayes: _____________________________________ Nays: _____________________________________              

As Needed – City Council Meeting Date: ____________________________________________________

City Council Action: _____________________________________________________ (Minutes attached)

City Clerk Signature: _____________________________________________________________________

Recorded with Washington County Clerk:    _________________________________________________ 
                                                   (Copy of the filed documents must then be filed with the City Clerk)