APPENDIX W: SECONDARY PLAT SIGN-OFF LIST
(used prior to recordation of Plat)
                   Plan Commission                                                                                                    
                   Drainage Approval                                                                                                   
                   Address Approval                                                                                                   
                   Erosion Control Plan Approval                                                                           
                   County Highway Engineer Approval                                                                           
                   County Board of Health Approval                                                                           
                   County Board of Commissioners Approval                                                               
                   Town Council/Manager Approval                                                                           
Name of Subdivision                                                                                                   
Location                                                                                                                                                         
                                                                                                                            
(Petitioner's or Agent's Signature)               (Date)
(Ord. 2003-10F, passed 10-12-03)