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Revision 10/2016 PLAN REVIEW APPLICATION (FINAL PLAT AND/OR AS-BUILT) COLUMBIA COUNTY, GEORGIA PLEASE SELECT: Type of Application: Final Plat As-built Revision to previous approved Final Plat/As-Built PROPERTY INFORMATION: Project Name: Parcel ID# Number of Lots: Zoning: Total Acres: Please include the following with your application: Final Plats 3 sets of Final Plat CD containing electronic copy of plans in NAD 1983 state plane coordinates (can be e-mailed to addressing technician) Warranty Deed and Certificate of Title Final Plat review fee ($25 per lot) As-Builts 6 sets of As-Built Plan (only 3 sets are needed if resubmittal is required to address plan review comments) Estimated cost of construction for roads, sewer and storm improvements to be dedicated to Columbia County Stormwater Inventory CD containing electronic copy of plans in NAD 1983 state plane coordinates (can be e-mailed to addressing technician) Revision to Previously Approved Plan 3 sets of the revised sheets of the Final Plat or As-Built Revision review fee ($250) OWNER: APPLICANT (Surveyor): ADDRESS: ADDRESS: CITY: STATE: CITY: STATE: ZIP: PHONE: PHONE: EMAIL: EMAIL: Columbia County Plan Review Department Attn: Stacy Bargeron ([PHONE REDACTED]) or [EMAIL REDACTED] P.O. Box 498 630 Ronald Reagan Drive, Building A Evans, GA 30809 Date Received: Munis Application Fee Paid: