Partition-Subdivision+Application+10-9-07

` Coos County Planning Department Partition/Subdivision Application File No._____________ Base & Tentative Final Plats Receipt No. _________________ Receipt No._______________ Check No./Cash ______________ Check No./Cash_____________ Date _______________________ Date _______________________ Received by Received by Fee Received__________________ Fee Received__________________ An incomplete application will not be processed. Applicant is responsible for completing the form. Attach additional sheets to answer questions if needed. A. Applicant: Name:_____________________________________________ Telephone: _______________ Address: ___________________________________________________________________ City: ___________________________________ State: ________ Zip Code: _____________ B. Owner: Address: ___________________________________________________________________ C. As applicant, I am (check one): _____ The owner of the property; _____ The purchaser of the property under a duly executed written contract who has the written consent of the vendor to make such application (consent form attached). _____ A lessee in possession of the property who has written consent of the owner to make such application (consent form attached). _____ The agent of any of the foregoing who states on the application that he/she is the duly authorized agent and who submits evidence of being duly authorized in writing by his principal ...