Fillable ADDENDUM 4-A, VACANT/SUBDIVISION LAND QUESTIONNAIRE (Elbert County Government)

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ADDENDUM 4-A, VACANT/SUBDIVISION LAND QUESTIONNAIRE (Elbert County Government)

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ADDENDUM 4-A, VACANT/SUBDIVISION LAND QUESTIONNAIRE
Required by § 39-1-103(14)(d) and (e), C.R.S.
This questionnaire provides you with an easy method to submit information to the county assessor concerning VACANT LOTS within your
development. The questionnaire is in two parts; Part I requests information on lots sold, Part II requests a breakdown of lots by stage of
development. Information listed should be by approved plat (filing). DUPLICATE THIS QUESTIONNAIRE FOR EACH APPROVED
PLAT (FILING). Information requested may be submitted in a format adapted to your inventory system in lieu of this questionnaire. Please
refer to the instructions on the back of the form. All information provided by the developer shall be kept confidential by the assessor.
QUESTIONNAIRES MUST BE RETURNED TO ASSESSOR BY MARCH 20, 2020
APPROVED PLAT:
TOTAL NUMBER OF LOTS IN THIS APPROVED PLAT:
PART I VACANT LOT SALES WITHIN THE APPROVED PLAT:
Total number of lots sold from July 1, 2017 thru December 31, 2017: *
Total number of lots sold from January 1, 2018 thru June 30, 2018: *
Total number of lots sold from July 1, 2018 thru December 31, 2018: *
Total number of lots sold from January 1, 2019 thru June 30, 2019: *
*Please indicate the number of lots acquired from or sold to another developer, builder, or governmental entity.
Price range of vacant lots on June 30, 2018 with 100% of infrastructure completed:
$ to $ . Range is for ( ) multiple ( ) single lot purchase.
Indicate influences which strongly affect value:
(+) = positive factor, (-) = negative factor, or ( ) = unknown
( ) Site size ( ) Schools ( ) Recreation
( ) Shopping ( ) Covenants ( ) Employment
( ) Medical ( ) Price Range ( ) Environment
( ) Common Area ( ) Other
PART II LOT STATUS WITHIN THE APPROVED PLAT:
Total number of lots with structures on June 30, 2018: ( )
Total number of lots remaining vacant on June 30, 2018: ( )
Vacant lot breakdown of infrastructure as of January 1, 2020:
(Use worksheet on reverse side for determining numbers)
100% ( ) 75% ( ) 50% ( ) 25% ( ) 0% ( )
Person completing questionnaire:
(please print name)
Signature:
Date Completed: Phone:
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GUIDELINES FOR COMPLETING PART II
Use the worksheet below for determining percentage of infrastructure completed on vacant lots as of
January 1, 2020.
Transfer the total number of lots within each percentage group to PART II, on the reverse page of this
questionnaire. The term "lot" as used in this questionnaire and worksheet also means site, tract, or parcel.
Information is requested for all vacant land.
INFRASTRUCTURE WORKSHEET
FOR
VACANT LOTS WITHIN AN APPROVED PLAT
STAGE OF PERCENTAGES NUMBER OF
COMPLETION SPECIFIC CUMULATIVE LOTS
No infrastructure 0% 0% ( )
Professional Services* 10%
Clearing/ Grading 15%
25% ( )
Domestic Water/Sewer
& Storm Water 25%
50% ( )
Paving/Curbs/Gutter 25%
75% ( )
Utilities 15%
Landscaping/Amenities 5%
Warranties* 5%
100% ( )
Total number of vacant lots in approved plat: ( )
NOTE:
If the percentages for infrastructure vary significantly from the list,
please indicate the correct percentage in the space to the right of each
specific percentage. Cumulative percentages advance after completion
of all items within a stage.
* Indirect costs of development, not deductible under any circumstances.
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ADDENDUM 4-A, VACANTSUBDIVISION LAND QUESTIONNAIRE (Elbert County Government)

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Completed 21 January 2021

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