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MUNICIPALITY OF ANCHORAGE
ECONOMIC DEVELOPMENT AND PLANNING
P.O. Bo:< 196650
Anchorage, Alaska 99519-6650
PRELINIINARY PLAT APPLICATION
OFFICE USE
REC'D BY:
VERIFY OWN:
A. Please fill in the information requested below. Print one letter or number per block. Do not write in the shaded blocks.
1. Vacation Code 2. Tax Identification No.
Iq IIIIIIIII
3. NEW abbreviated legal description (T12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOTS 34).
4. EXISTING abbreviated legal description ('fl2N R2W SEC 2 LOT 45 OR SHORT SUB BLK $ LOTS 34) full legal on back page.
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5. Petitioner's Name (Last- First) 6. Petitioner's Representative
I'1 I I I I I I I I
Address /~0 /.~°X ~'~0"~0~ Address ~.~ ~.'~,.~,,~,,.~.-~,~./'d~.~/~"~-~,,,~.,~/./C'~-
City ~"~'~/"'~' State ~"' City ~'"'~'~'~"~/'~"~'~ State
Phone# ~'*~-~'~'/~¢~ Zip ~;~>~-~'Y Phone# ¢"P;¢/'(~9 Zip
7. Petition Area 8. Proposed 9. Existing
Acreage Number Number
Lots Lots
10. Grid Number 11. Zone
12. Fee $ 13. Community Council
B. I hereby certify that (I am)(I have been puthorized to act for)the owner of the property described above and that I desire to subdivide it in
conformance with Chapter 21 of the Anchorage Municipal Code of Ordinances. I understand that payment of the basic subdivision fee
is nonrefundable and is to cover the costs associated with processing this application, that it does not assure approval of the
subdivision. I also understand that additional fees may be assessed if the Municipality's costs to process this application exceed the
basic fee. I further understand that assigned hearing dates are tentative and may have to be postponed by Planning Staff, Platting
DateiOar~~mission, ortho Assembly due to adm~easor~,~~
Signature
*Agents must provide written proof or authorization.
20-003 (Rev 6/891MOA-24
C. Please check or fill in the following:
1. Comprehensive Plan -- Land Use Classification
Residential
Commercial
. Parks/Open Space
Transportation Related
2. Comprehensive Plan -- Land Use Intensity
Special Study
3. Environmental Factors (if any):
a. Wetland
1. Developable
2. Conservation __
3. Preservation
Marginal Land
Commercial/Industrial
Public Lands/institutions
Alpine/Slope Affected
Industrial
Special Study
Dwelling Units per Acre
Alpine/Slope Affected
b. Avalanche
c. Floodplain
d. Seismic Zone (Harding/Lawson)
Please indicate below if any of these events have occurred in the last three years on the property.
Rezoning
Subdivision
Conditional Use
Zoning Variance
Case Number
Case Number
Case Number
Case Number
Enforcement Action For
Building/Land Use Permit For
Army Corp of Engineers Permit
Legal descripbon for advertising.
Checklist
30 Copies of Plat
Reduced Copy of Plat (8'/~
Certificate to Plat
Fee
Topo Map 3 Copies
Soils Report 4 Copies
Aerial Photo
Housing Stock Map
Zoning Map
Water: X
Sewer:
Waiver
x 11)
Private Wells
Private Septic
Community Well
Community Sys.
Public Utility
Public Utility
20-003 Back (Rev. 6/89)MOA-24
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