SUBDIVISION RECORD DATE SUBMITTED_____________________
PRELIMINARY PLAT
Name of Subdivision _________________________________
Location ___________________________________________
Owner _____________________________________________
Land Planner______________ Address ____________________ Tel. ______________
Surveyor _________________ Address ____________________ Tel. ______________
CHECKLIST
_____ Vicinity map embracing subdivision and surrounding area.
_____ Six copies of preliminary plat.
_____ Scale: 1 inch = 100 feet or larger.
_____ Name of subdivision and owner.
_____ North point, graphic scale, date.
_____ Boundaries of tract with bearings and distances.
_____ Names of adjoining property owners or subdivisions.
_____ The location of existing sewers, water and gas mains and other utilities.
_____ The location of existing streets, easements, bridges, culverts, railroads, watercourses and the like.
_____ Names, locations and approximate dimensions of proposed streets, easements, parks and reservations, lot lines and the like.
_____ Contour map, if required.
_____ Proposed lot lines, building lines and approximate dimensions.
_____ Lot and block numbers.
_____ Zoning classification, if any, on the land to be subdivided and on adjoining land.
_____ Conforms to general requirements and minimum design standards.
Certification of Approval by District Highway Engineer ___________________ (date)
Certification of Approval by County School Superintendent __________________ (date)
Certification by Registered Engineer ____________________ (date)
Certification of water supply and sewage disposal system by County
Health Officer ___________________________ (date)
Certification of Approval by County Auditor __________________________ (date)
Certification of Approval by U.S. Army Corps of Engineers _______________________ (date)
Approved ______________ to proceed to final plat.
(Ord. passed 5-31-1977)