FINAL PLAT CHECKLIST

CONDITIONS FOR EXCEPTIONS TO PLAT REQUIREMENTS:

Any portion of the plat requirements may be waived if authority has been granted by the County Board, and:

_______ The survey or replat divides the property into only 2 lots, sites, or other divisions of land; and:

_______ The subdivision involves rural land and the parcels exceed one acre in size; or

_______ The subdivision creates no more than two new building sites and does not involve the dedication
of a full width street; or

_______ The subdivision involves minor changes in lot boundaries and does not create additional
building sites; or

_______ The subdivision involves replatting of one or more lots of record into not more than 2 lots.

If necessary conditions for exception have not been met, the following information is required
four weeks prior to a Planning Commission meeting, based upon the Douglas County
Subdivision and Zoning Regulations and its Application and Public Hearing Procedures:

_______ Application form

_______ Check for $100.00 for subdivision under 10 lots; $400.00 for subdivision over 10 lots plus
$2.50 per lot in excess of 30 lots

_______ Preliminary sanitary sewer plan if available by gravity flow as provided in section 7

_______ Preliminary surface storm drainage plan with sufficient data to determine feasibility of proposed
drainage system

_______ Street profile plan with statement of proposed street improvements

_______ One copy of any private restrictions or covenants affecting the subdivision or any part thereof; for
cluster subdivision, this shall take the form of a "Declaration of Covenants, Conditions, and
Restrictions" and include provision for permanent maintenance of all proposed open spaces,
common areas, facilities, private ways, courts, and recreational areas

_______ 3 mylars of the final plat bearing the original signatures on the required certificates and
25 paper copies of final plat showing or supplemented by the following information

_______ 1. Name of subdivision

_______ 2. North point

_______ 3. Scale

_______ 4. Name of owner and surveyor or engineer

_______ 5. Location by section, township, range, county and state

_______ 6. Descriptive boundaries based on a accurate traverse, giving angular and linear
dimensions. Allowable error of closure on any portion of the final plat
shall be 1' in 5,000

_______ 7. Exact location a and layout of lots, streets, alleys and other public ground with
accurate dimensions in feet and decimals of feet, interior angles, length of
radii and/or arcs of all curves

_______ 8. All other information necessary to reproduce the plat on the ground

_______ 9. Names of streets

_______ 10. Location, use and width of all easements

_______ 1l. Location and description of monuments

_______ 12. Setbacks and boundary lines for all lots if it is a cluster subdivision

_______ 13. Certificate signed by a registered land surveyor containing:

_______ legal description of the land included in the plat and all necessary
explanations of dimensions and references to monuments

_______ statement that ground survey has been made and the monuments
have been placed a shown on the plat or that temporary
monuments have been placed and bond equal to amount required
to do the work furnished

_______ 14. Notarized certificate signed and acknowledged by all parties having titled interest
in or lien upon the land being subdivided and consenting:

_______ to the plat

_______ to dedication to the public for public use all streets, alleys and
public ways

_______ to dedication of parks or other public ground to charitable, religious
or educational purposes

_______ granting easements

_______ 15. Certificate to be signed by County Treasurer stating there are not regular or
special taxes due or delinquent against the property described in the plat
on the date which the plat is recorded by the Register of Deeds

_______ 16. Certificate signed by the County Surveyor or Engineer approving the plat

_______ 17. Certificate for approval of the Planning Commission to be signed by the
Chairman

_______ 18. Certificate for the approval of the County Board to be signed by the Chairman
and attested by the County Clerk