Real Estate Preliminary Plat

REAL ESTATE PRELIMINARY PLAT

Project Identification

Legal Description

Plat Data and Survey

Scale:    North Arrow Orientation:

Date of Field Survey:    Source of Bearings:

Proposed Improvements, Easements and Dedications

Proposed Street Names:

Lot and Open Space Summary

Environmental and Compliance Disclosures

Is any portion of the property within a designated floodplain?    Yes No

Are wetlands or streams present on site?    Yes No

Are there known archaeological or historically significant resources?    Yes No

Financial Security and Recording

Performance Security / Bond Amount: $    Escrow/Inspection Fee: $

Owner's Dedication and Acknowledgment

Owner Name:    Owner Address:

The undersigned Owner does hereby certify that the land described herein and shown on this Preliminary Plat is owned by the Owner and does hereby dedicate to public use those streets, rights-of-way, utility easements, and other lands shown and designated for such purposes on this Plat, subject to acceptance by the appropriate governmental authority and subject to the conditions and reservations contained herein.

Owner acknowledgement: I certify under penalty of perjury that I am the owner or authorized representative of the owner of the property described on this Plat.

Surveyor's Certificate

I, , a licensed land surveyor, do hereby certify that this Preliminary Plat represents a survey made under my direct supervision, that monuments are set or shown as indicated, and that the plat conforms to applicable surveying standards and the requirements of the jurisdiction.

Surveyor License No.:    Firm:    Date:

Approval, Conditions, and Recording

Approval is provisional and conditioned upon completion of required improvements, receipt of bonds or securities as required, and compliance with conditions placed by the approving authority. Approval of this Preliminary Plat does not constitute acceptance for maintenance of public improvements unless expressly adopted by the governing body.

Approval Date:    Conditions of Approval (summary):

This Preliminary Plat shall expire if final plat procedures and required conditions are not met and timely recorded within days of the approval date, unless an extension is granted in writing by the approving authority.

General Provisions

Governing Law: This plat, dedication, and any agreements associated with it shall be governed by the laws of the jurisdiction in which the property is located. Governing jurisdiction:

Entire Agreement: This document and the exhibits and conditions incorporated by reference constitute the entire understanding between the Owner and the Approving Authority regarding the Preliminary Plat and shall not be modified except in writing signed by the Owner and the Approving Authority.

Remedies and Default: Failure of the Owner to comply with the conditions of approval or to provide required securities shall entitle the Approving Authority to withhold final plat approval, require remediation, or pursue other remedies as authorized by ordinance and law.

Attachments

The following items are submitted with this Preliminary Plat: Vicinity map, full-size plat sheets, grading and drainage plan, traffic study (if required), utility plans, and any additional exhibits required by the jurisdiction. List attachments:

Sign Now