Zip
Zip
City of Greenacres
Application for Plat Approval
Instructions to Applicant:
Answer all questions completely
A filing fee in the amount required by Code and City Council Resolution (see Plat Review
Fee Worksheet)
Provide seven (7) initial copies of all required attachments (plat, construction plans,
calculations, construction cost estimate, permits from all agencies having jurisdiction, and
contract and surety
An Optional Pre-submission Conference is available at no charge. Call 561-642-2054 to
schedule. Submit seven (7) copies of the sketch plat and survey meeting requirements of
Section 12-43 at least twenty (20) days prior to conference
Subdivision Name
* Agent’s Name
Address
City State
Phone Fax
Email
Owner’s Name
Address
City State
Phone Fax
Email
* This is the address to which all agendas, letters and other materials will be forwarded.
State
State
day
Location of Subdivision
Zoning District
Property Size (Square feet/Acres)
Owner’s Authorization: Each petition must bear the signatures of all owners of property in the
petitioned area. A letter of authorization allowing a person other than the owner to sign or
represent such a petition must be .
Signature of Owner(s) of Record Print Name
Address
City Zip
Phone
Signature of Applicant or Agent Print Name
Address
City
Phone
Zip
SWORN TO AND SUBSCRIBED BEFORE ME this
by , who is personally known to me, or who has
produced as identification.
, 20 ,
Signature of Notary Public
Commission Number
Notary Seal
Print Name
Commission Expires
(Print, Type, or Stamp Commissioned Name of Notary Public)
2
click to sign
signature
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signature
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click to sign
signature
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