FORM 2 . PRELIMINARY PLAT CHECKLIST

Subdivision                                                  

         1.   Two copies of application.

         2.   Received check for $                           

      (            lots at $              )

         3.   Seventeen copies of plat (at a scale of not more than 1" = 50').

         4.   Legal description (lot, section, township, city, village, county)

         5.   Name of proposed subdivision.

      a.   Graphic Scale                   

      b.   Date                                

         6.   A vicinity map showing streets and other general development of the surrounding area at a scale of 1" = 100'.

         7.   Has applicant or agent discussed preliminary plat with Administrative Assistant to Planning Commission prior to filing?

      Date of Conference                                                                   

      With Whom                                                                             

         8.   Names of all adjoining property owners, or names of adjoining developers.

         9.   Names of adjoining streets.

         10.   Location and dimensions of all boundary lines of the property in feet and decimals of a foot.

         11.   Covenants, Liens, and Encumbrances.

         12.   Conveyance, (book and page) to Owner.

         13.   Name and address of licensed professional engineer, surveyor preparing the preliminary plat, Attorney.

         14.   Location of existing streets and existing permanent.

         15.   Location of existing easement.

         16.   The approximate location, dimensions, and areas of all existing lots.

         17.   Location of existing waterbodies, streams, and other pertinent features such as swamps, railroads, buildings, parks, cemeteries, drainage ditches, bridges, etc.

         18.   Location, dimensions of all property proposed to be set aside for park or playground use, or other public or private reservation, with designation of the purpose thereof, and conditions, if any, of the dedication or reservation.

         19.   Whenever the preliminary plat covers only a part of an applicant’s contiguous holdings, the applicant shall submit, at the scale of no more than two hundred feet (200') to the inch, a plat in pen or pencil or the proposed subdivision area, together with its proposed street systems and an indication of the probable future street and drainage system for the remaining portion of the tract.

         20.   Date of plat.

      a.   Approximate true north point.

         21.   Scale of plat.

      a.   Title of Subdivision.

         22.   Data from which the location, bearing, and length of all lines can be determined and reproduced on the ground.

         23.   Location of all proposed monuments.

         24.   Names of new streets to be approved by the Planning Commission.

         25.   Indication of the use of any lot and all uses other than residential.

         26.   Blocks consecutively numbered or lettered.

         27.   Lots in each block consecutively numbered.

         28.   Explanation of drainage easements.

         29.   Explanation of site easements.

         30.   Explanation of reservations.

         31.   Referred to the following officials, agencies, and municipality.

      Official, Agency, or City            Date

         32.   Reports (or protests) from officials, agencies and local governments received:

      Official, Agency, or City         Date

         33.   Endorsement of owner.

         34.   Construction plans (at a scale of not more than 1"=50')

             A.   Profiles showing existing and proposed elevations along center lines of all road. Where a proposed road intersects an existing road or roads, the elevation along the center line of the existing road or roads within one hundred (100) feet of the intersection, shall be shown.

             B.   Approximate radii of all curves, lengths of tangents, and central angles on all streets.

             C.   If required, where steep slopes exist, cross-sections of all proposed streets at one-hundred foot stations shown at five (5) points as follows: On a line at right angles to the center line of the street, and said elevation points shall be at the center line of the streets, each property line, and points twenty-five (25) feet inside each property line.

             D.   Plans and profiles showing the locations and typical cross-section of street pavements including curbs and gutters, sidewalks, drainage easements, servitudes, rights-of-way, manholes, and catch basins.

             E.   Location of street light standards.

             F.    Location of street signs.

             G.    Location, size, and invert elevations of existing and proposed sanitary sewers, stormwater drains, and fire hydrants, showing connection to any existing and proposed utility systems.

             H.   Location and size of all water, gas, or other underground utilities or structures.

                I.   Location, size, elevation, and other appropriate description of any existing facilities or utilities including, but not limited to, existing streets, sewers, drains, water mains, easements, water bodies, streams, and other pertinent features noted on the Official Map (Major Street Plan) or Master (Comprehensive) Plan, at the point of connection to proposed facilities and utilities within the subdivision.

                   J.   If the subdivision borders a lake, river, or stream, the distances and bearings of a meander line established at pool stage.

          K.   Topography at the same scale as preliminary plat with contour interval of five feet.

                L.   Other specifications and references required by the local government construction standards and specifications, including a site-grading plan for the entire subdivision.

                M.   Title, name, address, and signature of professional engineer.

                N.   Date, including revision dates.

                O.   Notation of approval.