Application Major Subdivision Sketch Plan

Applicant

Date:

OwnerAgent

Is Mailing address different from above:

YesNo

Address:	City:
State:	Zip Code:

Property Subject to Application

Address:	City:
State:	Zip Code:

Practical Property Description:

Legal Description:

Attach Additional Information:

Proposed Subdivision/Project Name:

Brief description of subdivision proposal - include number of proposed lots and land use(s), (e.g., residential, commercial, etc.)

Attach Additional Information:

Proposed Number of Lots and Type of Units:

Acreage or Square Feet of Parcel:

Existing Zoning:

Surrounding Zoning

North:

West:

South:

East:

Present Use of Subject Property:

Uses Surrounding Subject Parcel

North:

West:

South:

East:

Town of Debeque

Applicant(s):	Date:
Applicant(s):	Date: