Minor Subdivision/Lot Split Administrative Review Form
Minor Subdivision / Lot Split Administrative Review
Regulated by Ohio Revised Code 711.131 & The Knox County Subdivision Regulations
Property Information Application #
Owners Name
Purchasers Name
Parcel I.D. #
Contact Person Phone #
Township Road Type, Number, Name__________________________________________
Split Size Original Acreage
School District Fire District
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Preliminary Lot Split Approval
1) Does the proposed split have frontage along a public road? [ ] Yes [ ] No
a) If no, this split is not eligible for a Minor Subdivision.
2) Has an access point been approved by the appropriate authority? [ ] Yes [ ] No
a) If no, contact road authority (State, county, Township).
3) Are any public roadways being opened, widened, or extended? [ ] Yes [ ] No
a) If yes, splits are not eligible for Minor Subdivision.
4) Have proposed sanitary facilities been tested and documented? [ ] Yes [ ] No
a) If no, approval from the Knox county Health Department
is required prior to lot split approval.
5) Are there more than 4 lot splits being proposed? [ ] Yes [ ] No
a) If yes, are any splits 5.000 acres or less? [ ] Yes [ ] No
b) If yes, splits are not eligible for a Minor Subdivision.
6) Are any proposed lots non-buildable? [ ] Yes [ ] No
a) If yes, will the creation of the non-buildable lot(s) create
additional building lots? [ ] Yes [ ] No
b) If yes, lots are not eligible for a Minor Subdivision.
7) Is this parcel an “Original Tract”? (created prior to August 12, 2006) [ ] Yes [ ] No
a) If no, this split is not eligible for a Minor Subdivision.
8) Have there been previous splits from this original tract? [ ] Yes [ ] No
a) If yes, how many?
b) If more than 4, this split is not eligible for a Minor Subdivision.
9) Will there be 2 or more additional building sites? [ ] Yes [ ] No
a) If yes, splits will require a Storm Water Management Plan.
10) Does the proposed split meet all township zoning requirements? [ ] Yes [ ] No
a) If no, proposed lot split will not be approved.
11) Is any of the property inside a Zone-A floodplain? [ ] Yes [ ] No
a) If yes, please contact planning office for further information?
12) Does property include a stream as designated on USGS 7.5 minute quad maps? [ ] Yes [ ] No
a.) If yes, flood plain or streambank buffer must be dedicated.
The proposed lot split has been:
[ ] Pre-approved as a buildable lot [ ] Pre-approved as a non-buildable lot [ ] Denied per
Signature Date
Final Lot Split Approval
1) Has the proposed split been pre-approved? [ ] Yes [ ] No
a) If no, all items above must be addressed.
2) Has a properly certified survey been submitted? [ ] Yes [ ] No
a) If no, certified survey must be submitted.
3) Has a properly prepared conveyance form been submitted? [ ] Yes [ ] No
a) If yes, has the form been approved by the Tax Map Office? [ ] Yes [ ] No
4) Has Administrative Review Fee been paid ($50.00 per lot)? [ ] Yes [ ] No
Signature Date