APPLICATION FOR FINAL PLAT APPROVAL

INSTRUCTIONS

Print or type clearly. Use additional sheets if necessary. All required attachments shall be submitted with this application form. Incomplete or inaccurate applications may delay decision dates. The completed application package must be submitted to the County [appropriate county staff member] by the subdivider or a designated agent and shall be in compliance with the requirements of the County Subdivision Regulations. Each application must be accompanied by the required administrative fee.

GENERAL INFORMATION

1. Name of Subdivision _________________________________________________________________

2. This is a Type ______Subdivision       Number of Lots: ______ Total acreage:______Acres

3. Subdivider or Agent Name_____________________________________________________________
  Address_________________________________________________________________
  Phone Number ______________________________________
  Signature___________________________________________ Date _________________

4. Engineer/Surveyor Name_______________________________________________________________
  Address__________________________________________________________________
  Phone Number _______________________________________
  Signature ___________________________________________ Date _____________________

SUPPLEMENTAL INFORMATION

5. Have any changes to the proposed subdivision been made since the preliminary plat was approved?_______
      If so, attach a detailed explanation of such changes.

6. Have the required improvements been completed? _______ If not, attach improvement agreement to ensure completion of required improvements.

7. All affidavits, certificates, permits, and statements required for final plat review as defined by the County Subdivision Regulations shall be attached to this application.

8. The original drawing and required number of copies of the final plat map shall be attached to this application.

9. The final disclosure statement shall be attached to this application.

FINAL PLAT APPLICATION - PART TWO

PROCEDURAL INFORMATION (To be completed by County staff)

10. Date of preliminary plat approval ______________________ Expiration Date _________________________

11. Extension dates (if any, with explanation) ______________________________________________________
      ______________________________________________________________________________________

12. Date application received by County ___________________ Signed _________________________________

13. Date final plat deemed complete _______________________ Signed __________________________________

14. Date of final plat approval by County ____________________________________

15. Date final plat is filed with County Clerk __________________________________