Date ________________ Application Number ________________
Subdivision ________________________________________________________________
The following item(s) (does, does not) conform with the requirements of the City of Washington Subdivision Regulations.
Those items not conforming are explained on the final page:
Does Does Not Item
1. Submitted within 12 months of preliminary approval
2. Conforms to preliminary plat and incorporates suggested changes
3. Name of subdivision
4. Proper scale
5. Date and north point
6. Locational description
7. Sheet size not larger than 24" x 36" (index sheet if more than one sheet)
8. Name and address of owner, surveyor, and engineer
9. Accurate survey data - seconds; lineal dimensions to hundredths of feet; radii; internal angles; point of curvature; tangent bearing; lengths of arcs; lengths of cords
10. Closure
11. Bearings and distances to permanent monuments
12. Name, location, width, and centerline of streets
13. Lot numbers and dimensions
14. Location and description of numbers
15. Building setback lines
16. Parks and open spaces and proper dedications
17. Final deed restriction
18. Final improvement plans
19. Installation or guarantee of installation of improvements
20. Required final certifications
Date ________________ _____________________________
Title of Position
_____________________________
Signature