_____________________________ (Name of Subdivision)
_____________________________ (Date of Submission)
_____________________________ (Due date of recommendation [30] days)
NOTE: To properly execute this checklist, the subdivider or his engineer shall:
(1) Insert the required information.
(2) Denote compliance with applicable ordinances by placing his initials in all spaces where applicable.
(3) Denote those items which the subdivider considers “not applicable” to this particular subdivision by the abbreviation, “N.A.”)
___ 1. Plat has been submitted within six (6) months after the approval of the engineering plans.
___ 2. Plat has been submitted within three (3) years after the approval of the preliminary plan unless an extension of time has been requested of and granted by the City Council).
___ 3. One original drawing of the final plat has been submitted.
___ 4. One transparency print of the final plat has been submitted.
___ 5. Four (4) copies of the final plat have been submitted.
___ 6. Plat is drawn with waterproof India ink on heavy linen tracing cloth or equal.
___ 7. North direction is shown.
___ 8. Scale is shown (minimum 1” equals 100’).
___ 9. Section corners and section lines «re accurately tied into subdivision by distances and angles.
___ 10. Official survey monuments are shown as required.
___ 11. All necessary easements are shown and dimensioned.
___ 12. Building setback lines are shown and dimensioned in accordance with the zoning code.
___ 13. Lot areas are in accordance with the applicable zoning regulations.
___ 14. Street names are shown.
___ 15. Areas to be dedicated or reserved for public use are shown and described and the purpose is designated.
___ 16. Protective covenants are lettered on the plat or are appropriately referenced.
___ 17. Required certificates are shown and signed.
___ a. Surveyor’s certificates (including legal description).
___ b. Owner’s certificate.
___ c. Notary certificate.
___ d. County Clerk certificate.
___ e. Certificate as to special assessments.
___ f. Certificate of County Superintendent of Highways.
___ g. Certificate of public works and buildings.
___ 18. Other required certificates are shown.
___ a. Plan Commission certificate.
___ b. Superintendent of Public Works Certificate.
___ c. City Council certificate.
___ 19. The following items have been submitted with the final plat:
___ a. Detailed specifications for all required land improvements not previously submitted and approved with the engineering plans.
___ b. A copy of the State Sanitary Water Board permit for the sanitary sewer installation.
___ c. A copy of the State Department of Public Health approval of the water main installation.
___ d. An affidavit by the subdivider acknowledging responsibility for the proper installation of all required land improvements.
___ e. A certified estimate of cost of all required land improvements prepared by a registered engineer.
___ f. A description of the bond or guarantee of collateral intended to be submitted after contingent approval is granted by the City Council.
COMPLETED BY: ______________________________________ (NAME)
__________________________________________________________________ (ADDRESS)
____________________ (DATE)
REVIEWED BY: ___________________________________________
SUPERINTENDENT OF PUBLIC WORKS
____________________ (DATE)
CONSIDERED BY PLAN COMMISSION ON __________________ (DATE)
____________________________________________ (CHAIRMAN)
(1975 Code, § 34.38)