Town of Mills Application for Plat/Replat Page 1
Rev. 12/2015
TOWN OF MILLS
APPLICATION FOR PLAT/REPLAT
Pursuant to the Town of Mills Zoning Ordinance
Town of Mills, Wyoming Date:
704 4
th
Street (Physical Address) Return by:
P.O. Box 789 (Mailing Address) (Submittal Deadline)
Mills, Wyoming 82644 For Meeting on:
PLEASE PRINT
SINGLE POINT OF CONTACT:
APPLICANT/PROPERTY OWNER(S) INFORMATION: AGENT INFORMATION:
Print Owner Name: Print Agent Name:
Owner Mailing Address: Agent Mailing Address:
City, State, Zip: City, State, Zip:
Owner Phone: Agent Phone:
Applicant Email: Agent Email:
PROPERTY INFORMATION:
Subject property legal description (attach separate page if long legal):
Physical address of subject property if available:
Size of lot(s) sq. ft/acres:
Current zoning: Current use:
Intended use of the property:
Zoning within 300 feet: Land use within 300 feet:
ATTACHMENTS (REQUIRED):
1. Proof of ownership: (such as deed, title certification, attorney’s title opinion)
2. Seven (7) full sized copies of the plat/replat:
3. One reproducible 11 x 17 plat/replat hard copy:
4. One plat/replat electronic copy (pdf):
RIGHT-OF-WAY / EASEMENT INFORMATION:
Right-of-Way / Easement Location:
(Example: along west property line, running north & south)
Width of Existing Right-of-Way / Easement: Number of Feet to be Vacated:
Please indicate the purpose for which the Right-of-Way / Easement is to be vacated / Abandoned
SIGNATURE(S):
The following owner’s signature signifies that all information on this application is accurate and correct to the best of the
owner’s knowledge; and that the owner has thoroughly read and understands all application information and requirements. [In
addition to the owner’s signature(s), if an agent of the owner is also to be notified and/or contacted for all communications relating to
this application, please have the agent sign below.]
