Final Plat Application Page 1 of 2 (Revised 9/24/2014)
City of DuPont
Planning Division
Final Plat Application
Phone: (253) 912-5393
Fax: (253) 964-1455
1700 Civic Drive
DuPont, WA 98327
www.dupontwa.gov
City File Number: ___________________________
All information listed in this application, or by applicable ordinance, must be submitted in order for a final
plat application to be determined complete. Only a complete application will be processed for
conformance with adopted policies and requirements.
General Information:
Project name: ________________________________________________________________________
Applicant name: ______________________________________________________________________
Address: ____________________________________________________________________________
Phone number: ________________________________ Fax number:____________________________
Applicant’s representative: ______________________________________________________________
Address: ____________________________________________________________________________
Phone number: ________________________________ Fax number:____________________________
Description of proposal. Be specific.
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Required Plans, Information and Fee:
(Quantity and minimum scale of each item or drawing is indicated in parenthesis. Plans shall be no larger than 24 by
36 inch sheet size)
1. Final plat filing fee, plus engineering or other consulting fees.
2. Statement demonstrating conformance with preliminary plat conditions of approval. (five copies)
Final Plat Application Page 2 of 2 (Revised 9/24/2014)
3. Final plat drawings. (six copies)
4. 8 by 11 inch reduced plat drawings. (one copy)
5. Plat certificate. (two copies)
6. Final Plat Land Use Breakdown Sheet. (one copy)
7. Plat legal description and exhibits. (two copies)
8. Plat closure calculations. (two copies)
9. Plat performance bond and cost breakdown. (two copies)
10. Agreement for Right of Way and Landscape Maintenance. (two copies)
11. Temporary street turn around easement, if necessary. (two copies)
12. Utility easements. (two copies)
13. Water System Bill of Sale. (original only)
14. Pedestrian trail easements, if necessary. (two copies)
15. Sensitive area statutory warranty deed, if necessary. (two copies)
16. Sensitive Areas Bill of Sale, if necessary. (original only)
17. Pierce County sewer system acceptance letter or provide Pierce County signature line on face of plat.
18. Plat map drawing files in AutoCad format on floppy disks structured as specified in Chapter 24.09.030 of
the DuPont Municipal Code.
Note: Public road dedications may be shown on the plat. Only these dedications may be accepted through quit
clam deeds.
Note:
Fill out and return this application with all material listed in the Required Plans, Information and Fee
section. All plans must be folded to 8½ by 11 inch size. Paper or electronic drawings of the proposal may
be requested for presentation purposes.
______________________________________ _______________________________________
(Applicant Signature) (Date) (Print name)