YES NO
Fifteen (15) copies submitted 21 days prior to hearing ____ ____
Notification of hearing to subdivided and adjoining property owners ____ ____
Copies sent to Resident/County Engineer (or appropriate official) and County
Health Department for recommendation ____ ____
Plat contents, per § 153.18(A), as follows:
A. Date ____ ____
Label “Preliminary Plat;” ____ ____
Graphic scale (not less than 1" = 200'); ____ ____
North arrow; ____ ____
Vicinity sketch map (1"= 2,000 feet). ____ ____
B. Name and location of subdivision. ____ ____
Name and address of property owner, subdivider (if other than owner) ____ ____
and developer
Name, address and seal of the registered licensed professional land surveyor
responsible for preparation of the plan and supplementary plans ____ ____
Names of adjacent property owners of record and abutting subdivisions and streets ____ ____
C. Acreage of land to be subdivided to nearest 1/100th acre ____ ____
D. Contours at an interval of not greater than five (5) feet or at a lesser interval
if deemed necessary by the Planning Commission ____ ____
E. Boundaries of the tract, showing all bearings and distances ____ ____
F. Existing and proposed easements and their locations, widths and distances ____ ____
G. Existing and proposed street layout, depicting streets on and adjacent to the tract ____ ____
Street names (selected so as not to duplicate any other within the county) ____ ____
Street widths, approximate grades, profiles (1" = 20'), and other dimensions as
may be required ____ ____
H. Utilities on and adjacent to the tract showing proposed connections to existing
utility systems ____ ____
Existing culverts and watercourses ____ ____
Rear easements for utility poles shall be required wherever possible ____ ____
I. Proposed lot lines and lot numbers ____ ____
J. Sites and their acreages, if any, to be reserved or dedicated for parks, playgrounds, ____ ____
schools or other public uses
Sites, if any, for semi-public, commercial or multi-family use ____ ____
K. Minimum building setback lines ____ ____
L. Copies of proposed deed restrictions (if applicable) ____ ____
M. Clearly indicate or discuss proposed erosion control methods during ____ ____
construction
O. Certificates 1, 2, 4, 6, 7 and 8 as indicated in the Appendix ____ ____