Fillable City of Sumner Final Plat Application (City of Sumner)

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City of Sumner Final Plat Application (City of Sumner)

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The City of Sumner Final Plat Application (City of Sumner) form is 2 pages long and contains:

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  • 6 check-boxes
  • 30 other fields

Country of origin: US
File type: PDF

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BROWSE CITY OF SUMNER (WA) FORMS

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City of Sumner
Final Plat
Application
(Please fill out ALL fields unless otherwise noted)
S
upporting Materials Required:
Office Applicant - (please check off all “applicant” boxes)
This application Form and Checklist
Final Plat (Refer to SMC17.16.130) 4 - Full Sheet (18” x 24”)
The name of the subdivision
Legal description of the property being subdivided
Numeric scale, graphic scale, true north point and date of preparation of the final plat
The boundary line of the plat
The exact location, width and name of all streets, alleys and other public ways within and adjacent to the subdivision
The exact location, width and purpose of all easements and dedications for rights-of-way provided for public and private
services and utilities
True courses and distances to the nearest established street lines, or sections or quarter section corner monuments which
shall accurately locate the subdivision
Municipal, township, county or section lines
All lot and block numbers and lines, with accurate dimensions in feet and hundredths of feet
Delineation of the building envelope of each lot with setbacks indicated
The radii, internal angles, points of curvature, tangent bearings and lengths of all arcs
The accurate location of each permanent control monument.
All plat meander lines or reference lines along bodies of water shall be established as above, but not farther than 20 feet
from the high water line of such body
Outlines and legal descriptions of any areas to be dedicated or reserved for public use
Outlines of any area to be reserved by deed covenant for common use of owners of property within the subdivision together
with the purposes of such reservation
Any restrictions or conditions on the lots or tracts within the subdivision as required by the city council or at the discretion
of the property owner
APPLICATION CONTINUED ON PAGE 2
Site/Project Address (if available): P
arcel #:
Owner: Phone: Email:
Owner Address: City: State: Zip:
Surveyor/Engineer/Contractor: Phone: Contractor License Number:
Address: Email: City: State: Zip:
Contact Person: Phone: Fax:
Contact Address: Email: City: State: Zip:
Description of Project:
Community Development
1104 Maple Street, Suite 250
Sumner, WA 98390
Tel. (253)299-5530 Fax: (253)299-5539
www.ci.sumner.wa.us
File Number: __________________________
City of Sumner
Final Plat
Application
(Please fill out ALL fields unless otherwise noted
PAGE 2
Supporting Materials Required:
Office Applicant - (please check off all “applicant” boxes)
The name and seal of the Washington State licensed land surveyor or Washington State licensed engineer responsible for
preparation of the final plat, and a signed certification on the plat
A signed certification stating that the subdivision has been made with the free consent and in accordance with the desires
of the owner or owners
Forms for the appropriate certifications of the finance director, city engineer, and director of community development
Proper delineation of any environmental constraints
Legal Description 2 - Copies
Title Report 2 - Copies
Recorded Covenants, conditions & Restrictions (if any) 2 - Sets
Permit Fee (Please Consult Staff)
NOTES:
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN
OR NOT.
**BY LEAVING THE CONTRACTOR INFORMATION SECTION BLANK, I HEREBY CERTIFY FURTHER THAT CONTRACTORS (GENERAL OR
SUBCONTRACTORS) WILL NOT BE HIRED TO PERFORM ANY WORK IN ASSOCIATION WITH THIS PERMIT. (building permits only)
__
______________________________________________________ _____________________________________________ DATE: ______/_____/_____
SIGNATURE OF OWNER / AUTHORIZED AGENT PRINTED NAME
Community Development
1104 Maple Street, Suite 250
Sumner, WA 98390
Tel. (253)299-5530 Fax: (253)299-5539
www.ci.sumner.wa.us
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City of Sumner Final Plat Application (City of Sumner)

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Completed 16 July 2020

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