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 Subdivision Review Officer by the subdivider or a designated agent and shall comply 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:

3. Subdivider Name, Address, and Phone Number:

_________________________________________________

_________________________________________________

_________________________________________________

Date

Signature

4. Engineer Name, Address, and Phone Number:

_________________________________________________

_________________________________________________

_________________________________________________

Date

Signature

5. Surveyor Name, Address, and Phone Number:

_________________________________________________

_________________________________________________

_________________________________________________

Date

Signature

SUPPLEMENTAL INFORMATION

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

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

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

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

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

PROCEDURAL INFORMATION (To be completed by County staff)

11. Date of preliminary plat approval: Expiration Date:

12. Extension dates (if any, with explanation):

_____________________________________________________________________

13. Date application received by County:

_______________________________________________________________________

Initial:

14. Date final plat deemed complete:

____________________________________________________

Initial:

15. Date of final plat approval by County: