GSCPC Preliminary/Subdivision Development Plat Application Form

1. APPLICATION
Georgetown-Scott County Planning Commission
Project Name
Type of Application
Date App. Complete Required Fee Date Fee Paid
Contact: Owner:
Address: Address:
Phone: Phone:
email: email:
Consultant:
Address:
Phone:
email:
Project Description (type, # of units, etc.):
Project Location:
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2. Utility Providers (check all that apply) Other Reviewers (to be filled out by P&ZS)
_______ A T & T _______ Health Department
_______ Georgetown Municipal Water and
_______ KYTC District #7
Sewer
_______ Kentucky American Water _______ Soil Conservation
_______ Kentucky Utilities _______ City Fire Dept.
_______ Owen Electric (Owen County RECC) _______ County Fire Dept.
_______ Bluegrass Energy (Harrison County
_______ City Road Dept.
RECC)
_______ Columbia Gas _______ County Road Dept.
_______ Delaplain Disposal _______ City Engineer
_______ City Police
_______ Emergency Management Services
_______ Time Warner Cable
_______ Building Inspection