For Office Use Only:
File Number:
Voucher No.:
Date Received:
CITY OF GREEN BAY LAND DIVISION CHECKLIST
Subdivision Name, CSM or Retracement Survey:
Street Address or General Location:
Date Submitted:
Parcel No(s):
Surveyor’s Name, Address & Phone No.:
Owner(s)/Developer(s) Name and Address:
X Check appropriate box for compliance
A.) MAP INFORMATION:
1. ____ Conforms to Official Map, Area Development Plan (ADP) and City’s Development Policy (Urban Service/Expansion)
2. ____ All easements and rights-of-way of record
3. ____ Four lots/outlots or less for one owner within past five years
4. ____ Topographic information (2-foot interval contours)
5. ____ Lot areas and dimensions (minimum 75-foot frontage, 7500 sq. ft. single family use, 12,000 sq. ft. duplex)
6. ____ Lots and Outlots numbered consecutively
7. ____ Street names correct and/or non-duplicated, not confusing nor difficult to pronounce
8. ____ Street widths and centerlines shown
9. ____ 12-foot radius shown on corner lots
10. ____ Building setback lines shown and dimensioned, special setbacks checked
11. ____ Existing buildings located
12. ____ Easements labeled and dimensioned (existing and proposed)
___ Department of Public Works ___ Wisconsin Public Service ___ Ameritech ___ Other
13. ____ Adjacent street and subdivisions shown and labeled
14. ____ Riparian and drainage data
___ Floodplains and floodways (elevations) ___ Wetlands ___ Drainage easements and natural drainageways
15. ____ Zoning
16. ____ All Environmentally Sensitive Areas (ESA’s) identified per the Brown County Sewage Plan
B.) SURVEYING AND TECHNICAL DATA:
1. ____ North arrow, scale and legend
2. ____ Location map
3. ____ Curve data
4. ____ Exterior boundaries; lengths and bearings
5. ____ Lot lines, lengths and bearings
6. ____ Sealed, signed and dated on each page
7. ____ North point referenced to identifiable direction and 1/4 section, P.C., Fed. Res. Line
8. ____ Minimum accuracy of 1 part in 3,000
9. ____ Monumentation in accordance with s.236.15
C.) TEXT AND GENERAL INFORMATION:
1. ____ Surveyor’s Certificate: ____ General location ____ Legal description
2. ____ Owner’s Certificate (Made in accordance with title or ownership records in the Register of Deeds Office)
____ Surveyed, divided, mapped and dedicated
____ Consent of mortgage
3. ____ Green Bay Plan Commission, Certificate of Approval
4. ____ Clerk, Certificate of Approval
5. ____ Restrictive Covenants
____ “Each lot owner shall grade the property abutting a street to conform to the adopted sidewalk grade elevation and
maintain said elevation for future sidewalks.”
____ “The land on all site and rear lot lines of all lots shall be graded by the subdivider and maintained by the property owner
to provide for adequate drainage of surface water.”
6. ____ Miscellaneous Information (where applicable)
____ Airport Zoning District ____ Preliminary plat errors corrected
____ Development fee postponement note ____ State non-objection statement (conditions met)
____ Owner’s certificate and dedication of public areas ____ Owner’s name and address
____ Common Council resolution statement (Clerk) ____ Developer’s name and address
____ Wisconsin non-objection statement (Clerk) ____ Proposed number of dwelling units
____ Treasurer’s certificate (City and County) ____ The “net residential acreage”
____ Conforms to approved preliminary plat (with conditions) ____ Approximate total area
____ Approving and objecting agencies ____ Compliance with WDOT Trans 233
