Village of Carroll

Application for a Lot Split

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VILLAGE OF CARROLL

Founded 1829 at the Junction of the Ohio Erie and Hocking Canals

APPLICATION FOR LOT SPLIT

Application No.

Name of Applicant:

Mailing Address:

Phone No: (Home)

(Business)

(Cell)

Location (Property Description): Subdivision Name

Section

Township

Range

Lot No.

Property Owner:

Parcel #:

Please provide the following information:

Survey Plat: Two (2) copies of proposed survey plat (one to be filed with Fairfield County Auditor).
Deed Description: Two (2) copies of proposed deed description (one to be filed with Fairfield County Auditor).
Application for a Minor Subdivision Approval: Two (2) copies from the Fairfield County Map Room.

I certify that the information contained in this application and its supplements is true and correct.

Date

Applicant

Date Filed:

Date Approved:

Fee Paid: $

Zoning Inspector