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PRELIMINARY PLAT Petition DALLAS COUNTY OFFICE of PLANNING and DEVELOPMENT 907 Court Street I Adel, IA 50003 I [PHONE REDACTED] I [EMAIL REDACTED] DATE: TO: DALLAS COUNTY PLANNING and ZONING COMMISION The Undersigned is the (owner / owner’s agent) of the following described property located in the unincorporated area of Dallas County, Iowa Acceptance of Municipalities The “Code of Iowa” grants any municipality (city or town) that has adopted subdivision regulations, the power to review any subdivision within two miles of their corporate limits. The subdivider (petitioner) is required to contact any municipality that is within 2 miles of the proposed subdivision and to submit to this office, evidence of the municipalities’ action. Application Materials To be considered you must submit the following: 1. Completed Petition 2. Payment of $175*, if paying by check, pay to the order of: Dallas County Planning & Development 3. Twelve (12) copies of the Prliminary Plat *Payment of fee does not guarantee approval; no refunds will be made for items not approved Deadline Completed petition form and all required materials must be submitted to the Dallas County Office of Planning and Development at least one month prior to the scheduled Planning and Zoning Commission meeting date. Plat Information (Name of Proposed Plat Legal Description of Property (If necessary, please attach additional description) (E-911 Address) (City/Post Office) (Subdivision Name) (Lot Number) (Township Name) (Section Number) (PIN) (Zoning District) Petitioner Information (Please provide the contact information of the Petitioner[s]) (Name) (Mailing Address/P.O. Box) (City/Post Office) (State) (Zip) (Phone) Home Work Mobile (Email Address) Agent Information (This is the person[s] acting on behalf of the Petitioner [if applicable]) (Company/Name) (Mailing Address/P.O. Box) (City/Post Office) (State) (Zip) (Phone) Home Work Mobile (Email Address) ---PAGE BREAK--- PRELIMINARY PLAT Process DALLAS COUNTY OFFICE of PLANNING and DEVELOPMENT 907 Court Street I Adel, IA 50003 I [PHONE REDACTED] I [EMAIL REDACTED] Staff Review Approval by Director of Planning and Development Staff Review Advertise Action of P&Z Commission Make Revisions if Needed Submit Application Materials 1. Completed Petition 2. Fee Payment $175 3. Twelve (12) copies of the Preliminary Plat Planning & Zoning Commission Public Hearing Submit Final Plat (See Final Plat Process) Present Final Plat within 180 Days of Preliminary Plat Approval Submit Concept or Draft of Subdision Plat Provide a Concept Plan of the Proposed Plat