APPENDIX W: SECONDARY PLAT SIGN-OFF LIST

   (used prior to recordation of Plat)

                                       Plan Commission

                                       Drainage Approval

                                       Address Approval

                                       Erosion Control Plan Approval

                                       Town Engineer Approval

                                       County Board of Health Approval (if applicable)

                                       Planning Director Approval

                                       Public Works Director (Town Manager) Approval

Name of Subdivision

Location

(Petitioner’s or Agent’s Signature)                   (Date)

(Ord. 2020-1D, passed 1-6-20)