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D A W S O N C O U N T Y M I N O R P L A T Name of Plat (Last, First) # of Lots (proposed) Property Address or Road Name City State Zip Code Property Parcel Number Zoning District Total Acreage New Lot Acreage Property Owner of Record (Company /Individual) E-mail (for sending review comments) Property Owner Address City State Zip Code Applicant Name Company if applicable Mailing Address Suite/Apt City State Zip Code E-mail (for sending review comments) I hereby certify that all information provided herein is true and correct. Applicant Signature: Property Owner or Owner’s Representative Date P R O J E C T A P P L I C A N T TYPE OF MINOR PLAT: Staff Use Only Please Date Received: Plan Invoice: Minor Plat Fee $125 Email invoice to: City Division (zoning compliant) Division (Family Density Exemption) Dawson County Minor Plat Application 25 Justice Way, Dawsonville GA 30534 Combination Property Line Adjustment Note: Max Division as a Minor Plat is from 1 lot/parcel to 5 lots/parcels (including parent lot) Complete applications can be submitted with a .pdf survey to the Citizen Self Service Portal Include in the subject line of your submittal the Name (on plat), parcel/address of the property Once deemed complete, new applications will be invoiced to the email you provide. All fees must be paid before review of your submittal will begin will begin. . Please allow 7-10 business days for initial review once fees are paid. For family density exemptions, also submit a signed letter from the property owner verifying the family member to be gifted the land. SIGN