2020-01-FSUB/FSHP Page 4 of 5
FINAL PLAT/FINAL SHORT PLAT APPLICATION
SUBMITTAL CHECKLIST CONTINUED
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22. PW Standards Deviation (if proposed)
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23. Public Works Inspection Certificate
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24. Plan Set
− Subdivision name
− Plat and short plat locations by section/township/range and scale
− Delineation boundary of plat or short plat
− Name of streets as approved by the city engineer and exact locations/widths
− True courses and distances to nearest established street lines,
− Municipal, township, city or section lines tied to the lines of subdivision by distance and course
− Address ranges as designated by the City
− Radii, internal angles, points of curvature, tangent bearings and length of all areas
− Square footage of lots and tracts
− Lot and block numbers with dimensions in feet and hundredths
− Accurate location of all monuments
− Meander lines or reference lines along bodies of water established above the high-water line
− Accurate outlines and legal descriptions of dedications and easements
− Building setbacks lines
− All requirements of the King County health department applicable to the property.
− Plat or short plat restrictions.
− Notarized signatures of ownership and security interests in the property.
− Certificates and Conditions of approval (including legal descriptions for public dedications and
restrictions, certification by surveyor)
− Signature blocks for city and county officials and property owners.
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25. Tree Retention Compliance Form
CERTIFICATIONS & SIGNATURES
I have read this application in its entirety and certify that all information submitted, including any
supplemental information, is true and complete to the best of my knowledge. I acknowledge that willful
misrepresentation of information will terminate this permit application. I understand that my submittal will be
reviewed for completeness and, if found to be complete, will be processed pursuant to Title 19A SMC and
Chapter 20.05 SMC.
Applicant/Representative Signature (if applicable):
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signature
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signature
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