Discussion and Consideration of Hickory Knoll Part Two-Preliminary Plat — Preliminary Plat Application

PRELIMINARY PLAT APPLICATION CITY OF TIFFIN ∙ 300 RAILROAD ST, PO BOX 259 ∙ TIFFIN, IA 52340 Name: Tim Kasparek Signature: Address: 240 S Park Rd Tiffin IA 52340 Street or PO Box City State Zip Code Phone: 319-359-0820 Email: [email protected] Additional Contact Name: Lacey Stutzman - MMS Consultants Inc Phone: 319-351-8282 Email: [email protected] Property Owner (if other than applicant) Name: Address: Street or PO Box # City State Zip Code Phone: Email: During the review process City staff, Planning & Zoning Commission or City Council Members may visit the property. If the property owner does not wish to allow visitors onto the property, please sign below: Property Information Address (if none, list name of closest streets): 240 S Park Rd, Tiffin, IA Assessor’s Parcel # (Attach Legal Description): 0634202001 Subdivision Name: Hickory Knoll Part Two Number of Lots: 2 Property Size: 5.14 ac Current Zoning: R1-E For Staff Use Submitted to City Hall $ in fees paid on □ Copy to Building Inspector Received Building Inspector Review □ Copy to City Attorney Received City Attorney’s Review □ Copy to City Engineer Received City Engineer’s Review □ Copy to Fire Chief Received Fire Chief’s Review Date of first Council Meeting Recommend & Resolution # - Approved Developer’s Agreement Approved by Council City Official Signature: Date: