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Administrative Subdivision Distribution Sheet (PDF)

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2 tropriA egdirB yaB tnemtrapeD ecnaniF 3 nwoT detaroprocnI 4 gnisserddA 119 deriuqeR seipoC latoT dettimbuS seipoC latoT Administrative Distribution Cover Sheet Queen Anne’s County Department of Planning and Zoning 110 Vincit Street, Centreville, MD 21617 Telephone: 410-758-1255 Fax: 410-758-2509  Admin With Plat Email: PlanningApplications@qac.org  Admin Without Plat Project Name: Submittal Date:

Please check all boxes for additional information that you are submitting that is applicable to your project. Use this sheet and highlight each department and provide as the top document with each submittal package.

Application Form 1 * 1 1 * * * * * * * * * * * 3 Cover Letter 1 * 1 1 * * * * * * * * * * * 3 Plans/Plats 1 * 1 1 * * * * * * * * * * * 3 Deed to Property 1 * 1 Review Fees 1 1 Property Notification 1 1 Utility Letters 1 1 Critical Area Worksheet * * * Easement Documents (list below): * * * * * * * Forest Conservation * * Other Items (list below): * * Easement documents being submitted:

Other Items:

* If applicable to the property – provide necessary documents.

1 If legal documents are required or revised.

2 If within ½ mile – (FAA & MAA approval may be necessary) 3 If within 1 mile radius.

4 If a new road is proposed.

5 Contact Planning Department to provide PDF files in lieu of hardcopies.

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